Fix Bug #389: 住院护士站-》医嘱校对：界面筛选条件失效：勾选"临时"医嘱仍显示"长期"医嘱数据

前端therapyEnum参数在type.value为undefined时会被序列化为字符串"undefined"传递给后端，
导致后端无法正确解析而跳过过滤条件。修复为条件展开语法：仅在type.value有值时才传递therapyEnum参数，
确保"全部"筛选时不传该字段以获取全部医嘱。

Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>

openhis-server-new/openhis-application/src/main/java/com/openhis/web/appointmentmanage/appservice/impl/TicketAppServiceImpl.java

@@ -10,7 +10,7 @@ import com.openhis.clinical.service.ITicketService;
 import com.openhis.web.appointmentmanage.appservice.ITicketAppService;
 import com.openhis.web.appointmentmanage.dto.TicketDto;
 import com.openhis.common.constant.CommonConstants.SlotStatus;
-import com.openhis.common.enums.OrderStatus;
+import com.openhis.common.constant.CommonConstants.AppointmentOrderStatus;
 import org.springframework.stereotype.Service;
 
 import javax.annotation.Resource;
@@ -198,11 +198,10 @@ public class TicketAppServiceImpl implements ITicketAppService {
                         if (SlotStatus.CHECKED_IN.equals(slotStatus)) {
                             dto.setStatus("已取号");
                         } else if (SlotStatus.BOOKED.equals(slotStatus)) {
-                            // order_main.status: 0=患者取消(已退号) 2=系统取消 其余=已预约
+                            if (AppointmentOrderStatus.CHECKED_IN.equals(raw.getOrderStatus())) {
-                            if (OrderStatus.PATIENT_CANCELLED.getValue().equals(raw.getOrderStatus())) {
+                                dto.setStatus("已取号");
+                            } else if (AppointmentOrderStatus.RETURNED.equals(raw.getOrderStatus())) {
                                 dto.setStatus("已退号");
-                            } else if (OrderStatus.SYSTEM_CANCELLED.getValue().equals(raw.getOrderStatus())) {
-                                dto.setStatus("系统取消");
                             } else {
                                 dto.setStatus("已预约");
                             }
@@ -373,11 +372,10 @@ public class TicketAppServiceImpl implements ITicketAppService {
                         if (SlotStatus.CHECKED_IN.equals(slotStatus)) {
                             dto.setStatus("已取号");
                         } else if (SlotStatus.BOOKED.equals(slotStatus)) {
-                            // order_main.status: 0=患者取消(已退号) 2=系统取消 其余=已预约
+                            if (AppointmentOrderStatus.CHECKED_IN.equals(raw.getOrderStatus())) {
-                            if (OrderStatus.PATIENT_CANCELLED.getValue().equals(raw.getOrderStatus())) {
+                                dto.setStatus("已取号");
+                            } else if (AppointmentOrderStatus.RETURNED.equals(raw.getOrderStatus())) {
                                 dto.setStatus("已退号");
-                            } else if (OrderStatus.SYSTEM_CANCELLED.getValue().equals(raw.getOrderStatus())) {
-                                dto.setStatus("系统取消");
                             } else {
                                 dto.setStatus("已预约");
                             }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/basedatamanage/appservice/impl/OrganizationLocationAppServiceImpl.java

@@ -135,8 +135,7 @@ public class OrganizationLocationAppServiceImpl implements IOrganizationLocation
         BeanUtils.copyProperties(orgLocQueryDto, orgLoc);
 
         Long activityDefinitionId = orgLoc.getActivityDefinitionId();
-        String activityName = activityDefinitionId != null
+        String activityName = activityDefinitionId != null ? activityDefinitionMapper.selectById(activityDefinitionId).getName() : "";
-            ? activityDefinitionMapper.selectById(activityDefinitionId).getName() : "";
 
         List<OrganizationLocation> organizationLocationList =
             organizationLocationService.getOrgLocListByOrgIdAndActivityDefinitionId(orgLoc.getActivityDefinitionId());
@@ -148,8 +147,8 @@ public class OrganizationLocationAppServiceImpl implements IOrganizationLocation
             for (OrganizationLocation organizationLocation : organizationLocationList)
                 if (DateTimeUtils.isOverlap(organizationLocation.getStartTime(), organizationLocation.getEndTime(),
                     orgLoc.getStartTime(), orgLoc.getEndTime())) {
-                    Organization org = organizationService.getById(organizationLocation.getOrganizationId());
+                    String organizationName =
-                    String organizationName = org != null ? org.getName() : "未知科室";
+                        organizationService.getById(organizationLocation.getOrganizationId()).getName();
                     return R.fail("当前诊疗：" + activityName + CommonConstants.Common.DASH + orgLoc.getStartTime()
                         + CommonConstants.Common.DASH + orgLoc.getEndTime() + "与" + organizationName + "时间冲突");
                 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java

@@ -2,7 +2,6 @@ package com.openhis.web.chargemanage.appservice.impl;
 
 import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
 import com.baomidou.mybatisplus.core.conditions.query.QueryWrapper;
-import com.baomidou.mybatisplus.core.conditions.update.LambdaUpdateWrapper;
 import com.baomidou.mybatisplus.core.metadata.IPage;
 import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
 import com.core.common.core.domain.R;
@@ -330,14 +329,16 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
             }
         }
 
-        // 退费成功后，同步回滚预约订单状态及号源；同时移除分诊队列
+        // 如果本次门诊挂号来自预约签到，同步把预约订单与号源槽位状态改为已退号
-        Long refundOrderMainId = null;
         if (result != null && result.getCode() == 200) {
-            refundOrderMainId = syncAppointmentReturnStatus(byId, cancelRegPaymentDto.getReason());
+            syncAppointmentReturnStatus(byId, cancelRegPaymentDto.getReason());
+
+            // 同步移除分诊队列中的记录
             removeTriageQueueItem(byId.getId());
         }
-        // 退号日志独立事务写入，无论退费成功与否均记录
+
-        recordRefundLog(cancelRegPaymentDto, byId, result, paymentRecon, refundOrderMainId);
+        // 记录退号日志
+        recordRefundLog(cancelRegPaymentDto, byId, result, paymentRecon);
 
         // 2025/05/05 该处保存费用项后，会通过统一收费处理进行收费
         return R.ok(paymentRecon, MessageUtils.createMessage(PromptMsgConstant.Common.M00004, new Object[] {"退号"}));
@@ -434,6 +435,8 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
             // 通过患者、科室、日期查找关联的预约订单
             LambdaQueryWrapper<Order> queryWrapper = new LambdaQueryWrapper<Order>()
                 .eq(Order::getPatientId, encounter.getPatientId())
+                .in(Order::getStatus, CommonConstants.AppointmentOrderStatus.BOOKED,
+                    CommonConstants.AppointmentOrderStatus.CHECKED_IN)
                 .orderByDesc(Order::getUpdateTime)
                 .orderByDesc(Order::getCreateTime)
                 .last("LIMIT 1");
@@ -587,25 +590,20 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
     }
 
     /**
-     * 诊前退号：回滚预约订单、号源槽位、号源池统计。
+     * 同步预约号源状态为已退号。
-     *
+     * 说明：
-     * <p>处理四件事：
+     * 1) 门诊退号主流程不依赖该步骤成功与否，因此此方法内部异常仅记录日志，不向上抛出。
-     * <ol>
+     * 2) 通过患者、科室、日期以及状态筛选最近一条预约订单，尽量避免误匹配。
-     *   <li>order_main → status=0(患者取消), pay_status=3(已退费), 写入取消时间和原因</li>
-     *   <li>adm_schedule_slot → status=0(待约), order_id=NULL(释放号源)</li>
-     *   <li>adm_schedule_pool → 重算统计值 + version+1</li>
-     *   <li>返回 order_main.id 供 refund_log 关联</li>
-     * </ol>
-     *
-     * <p>异常仅记录日志不向上抛，不影响主流程返回成功。
      */
-    private Long syncAppointmentReturnStatus(Encounter encounter, String reason) {
+    private void syncAppointmentReturnStatus(Encounter encounter, String reason) {
         if (encounter == null || encounter.getPatientId() == null) {
-            return null;
+            return;
         }
         try {
             LambdaQueryWrapper<Order> queryWrapper = new LambdaQueryWrapper<Order>()
                 .eq(Order::getPatientId, encounter.getPatientId())
+                .in(Order::getStatus, CommonConstants.AppointmentOrderStatus.BOOKED,
+                    CommonConstants.AppointmentOrderStatus.CHECKED_IN)
                 .orderByDesc(Order::getUpdateTime)
                 .orderByDesc(Order::getCreateTime)
                 .last("LIMIT 1");
@@ -627,55 +625,35 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
 
             Order appointmentOrder = orderService.getOne(queryWrapper, false);
             if (appointmentOrder == null) {
-                return null;
+                return;
             }
 
-            // 只有有效订单(1)才能退号
+            Date now = new Date();
-            if (!OrderStatus.ACTIVE.getValue().equals(appointmentOrder.getStatus())) {
+            if (!CommonConstants.AppointmentOrderStatus.RETURNED.equals(appointmentOrder.getStatus())) {
-                log.warn("退号跳过：订单状态非有效, orderId={}, status={}",
+                Order updateOrder = new Order();
-                    appointmentOrder.getId(), appointmentOrder.getStatus());
+                updateOrder.setId(appointmentOrder.getId());
-                return null;
+                updateOrder.setStatus(CommonConstants.AppointmentOrderStatus.RETURNED);
-            }
+                updateOrder.setCancelTime(now);
-
+                updateOrder.setCancelReason(
-            // 乐观锁更新：WHERE version = 旧值，防并发重复退号
+                    StringUtils.isNotEmpty(reason) ? reason : "门诊退号");
-            boolean updated = orderService.update(
+                updateOrder.setUpdateTime(now);
-                new LambdaUpdateWrapper<Order>()
+                orderService.updateById(updateOrder);
-                    .set(Order::getStatus, OrderStatus.PATIENT_CANCELLED.getValue())
-                    .set(Order::getPayStatus, PaymentStatus.REFUND_ALL.getValue())
-                    .set(Order::getCancelTime, new Date())
-                    .set(Order::getCancelReason,
-                        StringUtils.isNotEmpty(reason) ? reason : "诊前退号")
-                    .set(Order::getUpdateTime, new Date())
-                    .setSql("version = version + 1")
-                    .eq(Order::getId, appointmentOrder.getId())
-                    .eq(Order::getVersion, appointmentOrder.getVersion())
-            );
-            if (!updated) {
-                log.warn("退号乐观锁冲突，订单已被其他操作修改, orderId={}", appointmentOrder.getId());
-                return null;
             }
 
             Long slotId = appointmentOrder.getSlotId();
             if (slotId == null) {
-                return appointmentOrder.getId();
+                return;
             }
 
-            int slotRows = scheduleSlotMapper.updateSlotStatus(slotId, CommonConstants.SlotStatus.AVAILABLE);
+            int slotRows = scheduleSlotMapper.updateSlotStatus(slotId, CommonConstants.SlotStatus.RETURNED);
             if (slotRows > 0) {
                 Long poolId = scheduleSlotMapper.selectPoolIdBySlotId(slotId);
                 if (poolId != null) {
                     schedulePoolMapper.refreshPoolStats(poolId);
-                    schedulePoolMapper.update(null,
-                        new LambdaUpdateWrapper<SchedulePool>()
-                            .setSql("version = version + 1")
-                            .set(SchedulePool::getUpdateTime, new Date())
-                            .eq(SchedulePool::getId, poolId));
                 }
             }
-            return appointmentOrder.getId();
         } catch (Exception e) {
             log.warn("同步预约号源已退号状态失败, encounterId={}", encounter.getId(), e);
-            return null;
         }
     }
 
@@ -694,29 +672,22 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
     }
 
     /**
-     * 记录退号日志（独立事务）。
+     * 记录退号日志
-     *
-     * <p>REQUIRES_NEW 确保即使主事务回滚，退号审计日志也不丢失。
-     * orderMainId 优先使用 order_main.id，若退费失败则 fallback 到 encounterId。
      *
      * @param cancelRegPaymentDto 退号请求对象
      * @param encounter 就诊信息
      * @param result 退号结果
      * @param paymentRecon 支付对账信息
-     * @param orderMainId 预约订单主键（order_main.id），用于关联业务数据
      */
     @Transactional(propagation = Propagation.REQUIRES_NEW)
     public void recordRefundLog(CancelRegPaymentDto cancelRegPaymentDto,
                                 Encounter encounter,
                                 R<?> result,
-                                PaymentReconciliation paymentRecon,
+                                PaymentReconciliation paymentRecon) {
-                                Long orderMainId) {
         RefundLog refundLog = new RefundLog();
         try {
-            // 1. 订单ID（关联 order_main.id）
+            // 1. 订单ID（唯一）
-            String orderId = orderMainId != null
+            String orderId = String.valueOf(cancelRegPaymentDto.getEncounterId());
-                ? String.valueOf(orderMainId)
-                : String.valueOf(cancelRegPaymentDto.getEncounterId());
             refundLog.setOrderId(orderId);
 
             // 已存在则不重复插入（防止唯一约束异常）

openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/impl/SurgeryAppServiceImpl.java

@@ -418,7 +418,7 @@ public class SurgeryAppServiceImpl implements ISurgeryAppService {
         // 清除相关缓存
         clearSurgeryAppCache(surgery);
 
-        return R.ok(surgeryId, "手术申请提交成功！");
+        return R.ok(surgeryId, MessageUtils.createMessage(PromptMsgConstant.Common.M00001, new Object[]{"手术信息"}));
     }
 
     /**
@@ -497,7 +497,7 @@ public class SurgeryAppServiceImpl implements ISurgeryAppService {
         // 清除相关缓存
         clearSurgeryAppCache(surgery);
 
-        return R.ok(null, "手术申请修改成功！");
+        return R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00002, new Object[]{"手术信息"}));
     }
 
     /**

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/utils/AdviceUtils.java

@@ -178,26 +178,22 @@ public class AdviceUtils {
         // 生命提示信息集合
         List<String> tipsList = new ArrayList<>();
         for (MedicationRequestUseExe medicationRequestUseExe : medUseExeList) {
-            // 聚合同一位置所有批次的库存总量
+            Optional<AdviceInventoryDto> matchedInventory = adviceInventory.stream()
-            List<AdviceInventoryDto> matchedInventories = adviceInventory.stream()
                     .filter(inventoryDto -> medicationRequestUseExe.getMedicationId().equals(inventoryDto.getItemId())
                     && CommonConstants.TableName.MED_MEDICATION_DEFINITION.equals(inventoryDto.getItemTable())
                     && medicationRequestUseExe.getPerformLocation().equals(inventoryDto.getLocationId())
                     // 如果选择了具体的批次号,校验库存时需要加上批次号的匹配条件
                     && (StringUtils.isEmpty(medicationRequestUseExe.getLotNumber())
                     || medicationRequestUseExe.getLotNumber().equals(inventoryDto.getLotNumber())))
-                    .collect(Collectors.toList());
+                    .findFirst();
             // 匹配到库存信息
-            if (!matchedInventories.isEmpty()) {
+            if (matchedInventory.isPresent()) {
-                // 聚合所有批次的可用库存
+                AdviceInventoryDto inventoryDto = matchedInventory.get();
-                BigDecimal totalQuantity = matchedInventories.stream()
+                if ((medicationRequestUseExe.getExecuteTimesNum()
-                        .map(dto -> dto.getQuantity() != null ? dto.getQuantity() : BigDecimal.ZERO)
+                        .multiply(medicationRequestUseExe.getMinUnitQuantity()))
-                        .reduce(BigDecimal.ZERO, BigDecimal::add);
+                        .compareTo(inventoryDto.getQuantity()) > 0) {
-                BigDecimal requestQuantity = medicationRequestUseExe.getExecuteTimesNum()
-                        .multiply(medicationRequestUseExe.getMinUnitQuantity());
-                if (requestQuantity.compareTo(totalQuantity) > 0) {
                     tipsList
-                            .add("【" + medicationRequestUseExe.getBusNo() + "】在" + matchedInventories.get(0).getLocationName() + "库存不足");
+                            .add("【" + medicationRequestUseExe.getBusNo() + "】在" + inventoryDto.getLocationName() + "库存不足");
                 }
             } else {
                 tipsList.add("【" + medicationRequestUseExe.getBusNo() + "】未匹配到库存信息");

openhis-server-new/openhis-application/src/main/java/com/openhis/web/paymentmanage/appservice/impl/PaymentRecServiceImpl.java

@@ -1991,7 +1991,7 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
             Order appointmentOrder = iOrderService.getOne(
                 new LambdaQueryWrapper<Order>()
                     .eq(Order::getPatientId, encounterFormData.getPatientId())
-                    .eq(Order::getStatus, OrderStatus.ACTIVE.getValue()) // 有效订单(1)
+                    .eq(Order::getStatus, CommonConstants.AppointmentOrderStatus.CHECKED_IN)
                     .eq(Order::getDeleteFlag, "0")
                     .orderByDesc(Order::getCreateTime)
                     .last("LIMIT 1")
@@ -2114,11 +2114,11 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
             Long queuePoolId = null;
             Long queueSlotId = null;
             try {
-                // 查询患者当天有效订单(1)；已取消(0/2)和已完成(3)的不参与排队
+                // 查询患者当天的待签到预约订单（status = 1 或 2 表示已预约或已取号）
                 Order order = iOrderService.getOne(
                     new LambdaQueryWrapper<Order>()
                         .eq(Order::getPatientId, encounter.getPatientId())
-                        .eq(Order::getStatus, OrderStatus.ACTIVE.getValue()) // 有效(1)
+                        .in(Order::getStatus, 1, 2) // 1=BOOKED 已预约, 2=CHECKED_IN 已取号
                         .eq(Order::getDeleteFlag, "0")
                         .orderByDesc(Order::getCreateTime)
                         .last("LIMIT 1")

openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/AdviceManageAppServiceImpl.java

@@ -511,9 +511,6 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
         // 签发操作
         boolean is_sign = AdviceOpType.SIGN_ADVICE.getCode().equals(adviceOpType);
 
-        // 收集已处理的requestId，用于批量更新状态
-        List<Long> processedRequestIds = new ArrayList<>();
-
         // 声明长期医嘱诊疗请求
         ServiceRequest longServiceRequest;
         // 新增 + 修改 (长期医嘱)
@@ -558,9 +555,6 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
                 }
             }
             iServiceRequestService.saveOrUpdate(longServiceRequest);
-            if (longServiceRequest.getId() != null) {
-                processedRequestIds.add(longServiceRequest.getId());
-            }
         }
 
         // 声明临时医嘱诊疗请求
@@ -609,9 +603,6 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
                 }
             }
             iServiceRequestService.saveOrUpdate(tempServiceRequest);
-            if (tempServiceRequest.getId() != null) {
-                processedRequestIds.add(tempServiceRequest.getId());
-            }
 
             // 保存时,保存诊疗费用项
             if (is_save) {
@@ -663,14 +654,6 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
             }
         }
 
-        // 批量更新诊疗医嘱状态（使用 update 确保状态字段必定更新）
-        if (!processedRequestIds.isEmpty()) {
-            iServiceRequestService.update(null,
-                    new LambdaUpdateWrapper<ServiceRequest>()
-                            .set(ServiceRequest::getStatusEnum,
-                                    is_save ? RequestStatus.DRAFT.getValue() : RequestStatus.ACTIVE.getValue())
-                            .in(ServiceRequest::getId, processedRequestIds));
-        }
     }
 
     /**

openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java

@@ -434,7 +434,7 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
             return new java.util.ArrayList<>(); // 返回空列表而不是查询数据库
         }
 
-        List<RequestFormQueryDto> requestFormList = requestFormManageAppMapper.getRequestForm(encounterId, typeCode, startDate, endDate, status, null);
+        List<RequestFormQueryDto> requestFormList = requestFormManageAppMapper.getRequestForm(encounterId, typeCode, startDate, endDate, status);
         for (RequestFormQueryDto requestFormQueryDto : requestFormList) {
             // 查询处方详情
             List<RequestFormDetailQueryDto> requestFormDetail =

openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/mapper/RequestFormManageAppMapper.java

@@ -37,15 +37,13 @@ public interface RequestFormManageAppMapper {
      * @param startDate 开始日期（可选，格式：yyyy-MM-dd）
      * @param endDate 结束日期（可选，格式：yyyy-MM-dd）
      * @param status 单据状态（可选）
-     * @param keyword 关键字（可选，申请单号/检查项目名称模糊匹配）
      * @return 申请单列表
      */
     List<RequestFormQueryDto> getRequestForm(@Param("encounterId") Long encounterId,
         @Param("typeCode") String typeCode,
         @Param("startDate") String startDate,
         @Param("endDate") String endDate,
-        @Param("status") String status,
+        @Param("status") String status);
-        @Param("keyword") String keyword);
 
     /**
      * 查询申请单详情

openhis-server-new/openhis-application/src/main/resources/mapper/clinicalmanage/SurgeryMapper.xml

@@ -331,10 +331,12 @@ PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
             ) t
             WHERE rn = 1
         ) pi ON s.patient_id = pi.patient_id
-        <!-- 关联服务请求表（仅用于数据关联，不再过滤） -->
+        <!-- 排除已生成医嘱的手术 -->
         LEFT JOIN wor_service_request sr ON sr.activity_id = s.id AND sr.delete_flag = '0' AND sr.category_enum = 4
         <where>
             s.delete_flag = '0'
+            <!-- 只显示未生成医嘱的手术 -->
+            AND sr.id IS NULL
             <if test="ew.sqlSegment != null and ew.sqlSegment != ''">
                 <!-- 补充 encounter_id 替换，修复多表关联时字段歧义。注释不能放进 OGNL 表达式内部。 -->
                 <![CDATA[

openhis-server-new/openhis-application/src/main/resources/mapper/pharmacymanage/WesternMedicineDispenseMapper.xml

@@ -96,14 +96,22 @@
                                 INNER JOIN med_medication_request AS T5
                                     ON T4.med_req_id = T5.id
                                         AND T5.delete_flag = '0'
-                   WHERE <if test="statusEnum == null">
+                   WHERE EXISTS (
-                            T4.status_enum IN (#{inProgress},#{completed},#{preparation},#{prepared})
+                            SELECT 1 FROM wor_supply_request wsr
+                            WHERE wsr.type_enum = 3
+                            AND wsr.delete_flag = '0'
+                            AND wsr.bus_no = T4.summary_no
+                            AND T4.summary_no IS NOT NULL
+                            AND T4.summary_no != ''
+                        )
+                        AND <if test="statusEnum == null">
+                            T4.status_enum IN (#{inProgress},#{completed},#{preparation},#{prepared},8)
                          </if>
                          <if test="statusEnum == 3">
-                             T4.status_enum IN (#{inProgress},#{preparation},#{prepared})
+                             T4.status_enum IN (#{inProgress},#{preparation},#{prepared},8)
                          </if>
                          <if test="statusEnum == 4">
-                             T4.status_enum = #{completed}
+                             T4.status_enum IN (#{completed},8)
                          </if>
                          AND T4.summary_no IS NOT NULL
                          AND T4.summary_no != ''

openhis-server-new/openhis-common/src/main/java/com/openhis/common/enums/OrderStatus.java

@@ -1,63 +0,0 @@
-/*
- * Copyright ©2023 CJB-CNIT Team. All rights reserved
- */
-package com.openhis.common.enums;
-
-import lombok.AllArgsConstructor;
-import lombok.Getter;
-
-/**
- * 订单状态 (order_main.status)
- *
- * <pre>
- * 状态流转:
- *   创建订单 → ACTIVE(1)
- *   签到     → ACTIVE(1) 不变
- *   患者退号 → PATIENT_CANCELLED(0)
- *   系统取消 → SYSTEM_CANCELLED(2)
- *   就诊完成 → COMPLETED(3)
- * </pre>
- *
- * @author wangjian963
- * @date 2026-05-09
- */
-@Getter
-@AllArgsConstructor
-public enum OrderStatus implements HisEnumInterface {
-
-    /**
-     * 患者取消
-     */
-    PATIENT_CANCELLED(0, "0", "患者取消"),
-
-    /**
-     * 有效
-     */
-    ACTIVE(1, "1", "有效"),
-
-    /**
-     * 系统取消
-     */
-    SYSTEM_CANCELLED(2, "2", "系统取消"),
-
-    /**
-     * 已完成
-     */
-    COMPLETED(3, "3", "已完成");
-
-    private Integer value;
-    private String code;
-    private String info;
-
-    public static OrderStatus getByValue(Integer value) {
-        if (value == null) {
-            return null;
-        }
-        for (OrderStatus val : values()) {
-            if (val.getValue().equals(value)) {
-                return val;
-            }
-        }
-        return null;
-    }
-}

openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/service/impl/OrderServiceImpl.java

@@ -6,8 +6,8 @@ import com.core.common.utils.AssignSeqUtil;
 import com.openhis.clinical.domain.Order;
 import com.openhis.clinical.mapper.OrderMapper;
 import com.openhis.clinical.service.IOrderService;
+import com.openhis.common.constant.CommonConstants.AppointmentOrderStatus;
 import com.openhis.common.enums.AssignSeqEnum;
-import com.openhis.common.enums.OrderStatus;
 import org.springframework.stereotype.Service;
 
 import javax.annotation.Resource;
@@ -124,8 +124,7 @@ public class OrderServiceImpl extends ServiceImpl<OrderMapper, Order> implements
                 : new Date(); // 兜底：正常业务不应走到这里
         order.setAppointmentDate(appointmentDateTime);
         order.setAppointmentTime(appointmentDateTime);
-        // 订单状态: 0=患者取消 1=有效 2=系统取消 3=已完成
+        order.setStatus(AppointmentOrderStatus.BOOKED);
-        order.setStatus(OrderStatus.ACTIVE.getValue());
         order.setPayStatus(0);
         order.setVersion(0);
 
@@ -170,13 +169,10 @@ public class OrderServiceImpl extends ServiceImpl<OrderMapper, Order> implements
         if (order == null) {
             throw new RuntimeException("订单不存在");
         }
-        // 已取消（患者取消0 或 系统取消2）不可再次取消
+        if (AppointmentOrderStatus.CANCELLED.equals(order.getStatus())) {
-        if (OrderStatus.PATIENT_CANCELLED.getValue().equals(order.getStatus())
-                || OrderStatus.SYSTEM_CANCELLED.getValue().equals(order.getStatus())) {
             throw new RuntimeException("订单已取消");
         }
-        // 已完成(3)的订单不可取消
+        if (AppointmentOrderStatus.CHECKED_IN.equals(order.getStatus())) {
-        if (OrderStatus.COMPLETED.getValue().equals(order.getStatus())) {
             throw new RuntimeException("订单已完成，无法取消");
         }
 
@@ -193,7 +189,6 @@ public class OrderServiceImpl extends ServiceImpl<OrderMapper, Order> implements
                 .eq(Order::getPatientId, patientId)
                 .eq(Order::getTenantId, tenantId)
                 .ge(Order::getCancelTime, startTime)
-                // 只统计患者主动取消(0)，不含系统取消(2)
+                .eq(Order::getStatus, AppointmentOrderStatus.CANCELLED));
-                .eq(Order::getStatus, OrderStatus.PATIENT_CANCELLED.getValue()));
     }
 }

openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/service/impl/TicketServiceImpl.java

@@ -13,8 +13,8 @@ import com.openhis.clinical.domain.Ticket;
 import com.openhis.clinical.mapper.TicketMapper;
 import com.openhis.clinical.service.IOrderService;
 import com.openhis.clinical.service.ITicketService;
+import com.openhis.common.constant.CommonConstants.AppointmentOrderStatus;
 import com.openhis.common.constant.CommonConstants.SlotStatus;
-import com.openhis.common.enums.OrderStatus;
 import org.slf4j.Logger;
 import org.slf4j.LoggerFactory;
 import org.springframework.stereotype.Service;
@@ -195,8 +195,8 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
             Date startTime = Date.from(periodStart.atZone(ZoneId.systemDefault()).toInstant());
             Date endTime = Date.from(periodEnd.atZone(ZoneId.systemDefault()).toInstant());
 
-            // 预约去重以订单为准（order_main），有效订单(1)才参与去重
+            // 预约去重以订单为准（order_main），因为预约成功会先落订单；clinical_ticket 不一定在此链路写入
-            List<Integer> effectiveOrderStatuses = Arrays.asList(OrderStatus.ACTIVE.getValue());
+            List<Integer> effectiveOrderStatuses = Arrays.asList(AppointmentOrderStatus.BOOKED, AppointmentOrderStatus.CHECKED_IN);
             int exists = orderMapper.countPatientDeptOrdersInPeriod(dto.getPatientId(), slot.getDepartmentId(), slot.getDepartmentName(),
                 startTime, endTime, effectiveOrderStatuses);
             if (exists > 0) {
@@ -314,8 +314,9 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
         }
         Order latestOrder = orders.get(0);
 
-        // 1. 签到不改变订单状态(仍为有效1)，更新支付状态为已支付并记录支付时间
+        // 1. 更新订单状态为已取号，并更新支付状态和支付时间
-        orderService.updateOrderStatusById(latestOrder.getId(), OrderStatus.ACTIVE.getValue());
+        orderService.updateOrderStatusById(latestOrder.getId(), AppointmentOrderStatus.CHECKED_IN);
+        // 更新支付状态为已支付，记录支付时间
         orderMapper.updatePayStatus(latestOrder.getId(), 1, new Date());
 
         // 2. 查询号源槽位信息

openhis-server-new/openhis-domain/src/main/resources/mapper/administration/ScheduleSlotMapper.xml

@@ -160,12 +160,11 @@
             AND delete_flag = '0'
     </update>
 
-    <!-- status=0(待约)时清空order_id，释放号源，使退号后号源可再被预约 -->
     <update id="updateSlotStatus">
         UPDATE adm_schedule_slot
         SET
             status = #{status},
-        <if test="status != null and status == 0">
+        <if test="status != null and '0'.equals(status.toString())">
             order_id = NULL,
         </if>
         update_time = now()

openhis-server-new/openhis-domain/src/main/resources/mapper/clinical/OrderMapper.xml

@@ -117,14 +117,12 @@
         </where>
     </select>
 
-    <!-- status=1: 只查有效订单(0=患者取消 1=有效 2=系统取消 3=已完成) -->
     <select id="selectOrderById" resultMap="OrderResult">
         select * from order_main where id = #{id}
         and status = 1
         order by create_time desc
     </select>
 
-    <!-- status=1: 只查有效订单 -->
     <select id="selectOrderBySlotId" resultMap="OrderResult">
         select * from order_main where slot_id = #{slotId} and status = 1
     </select>
@@ -250,9 +248,8 @@
         update order_main set status = #{status} where id = #{id}
     </update>
 
-    <!-- status=0: 患者取消 (OrderStatus.PATIENT_CANCELLED) -->
     <update id="updateOrderCancelInfoById">
-        update order_main set status = 0, cancel_time = #{cancelTime}, cancel_reason = #{cancelReason} where id = #{id}
+        update order_main set status = 3, cancel_time = #{cancelTime}, cancel_reason = #{cancelReason} where id = #{id}
     </update>
 
     <update id="updatePayStatus">

openhis-ui-vue3/src/api/operatingroom.js

@@ -38,6 +38,7 @@ export function listAdviceTypes(query) {
     params: query
   })
 }
+```
 
 /**
  * 查询手术室详细

openhis-ui-vue3/src/views/clinicmanagement/bargain/component/prescriptionlist.vue

@@ -1146,13 +1146,7 @@ function calculateTotalPrice(row, index) {
   });
 }
 
-function closeAllPopovers() {
+defineExpose({ getListInfo });
-  prescriptionList.value.forEach(row => {
-    row.showPopover = false;
-  });
-}
-
-defineExpose({ getListInfo, closeAllPopovers });
 </script>
     
 <style lang="scss" scoped>

openhis-ui-vue3/src/views/doctorstation/components/diagnosis/infectiousDiseaseReportDialog.vue

@@ -41,9 +41,43 @@
           </el-col>
         </el-row>
 
-        <!-- 工作单位（学校） -->
+        <!-- 性别、出生日期、实足年龄 -->
+        <el-row :gutter="16" class="form-row align-bottom">
+          <el-col :span="6" class="form-item">
+            <span class="form-label required">性别</span>
+            <el-radio-group v-model="form.sex">
+              <el-radio label="男">男</el-radio>
+              <el-radio label="女">女</el-radio>
+              <el-radio label="未知">未知</el-radio>
+            </el-radio-group>
+          </el-col>
+          <el-col :span="10" class="form-item birth-date">
+            <span class="form-label required">出生日期</span>
+            <div class="date-inputs">
+              <el-input v-model="form.birthYear" class="underline-input small" maxlength="4" @change="calculateAge" />
+              <span>年</span>
+              <el-input v-model="form.birthMonth" class="underline-input small" maxlength="2" @change="calculateAge" />
+              <span>月</span>
+              <el-input v-model="form.birthDay" class="underline-input small" maxlength="2" @change="calculateAge" />
+              <span>日</span>
+            </div>
+          </el-col>
+          <el-col :span="8" class="form-item age-item">
+            <span class="form-label">或 实足年龄</span>
+            <div class="age-inputs">
+              <el-input v-model="form.age" class="underline-input small"/>
+              <el-select v-model="form.ageUnit" class="age-unit-select">
+                <el-option label="岁" value="岁" />
+                <el-option label="月" value="月" />
+                <el-option label="天" value="天" />
+              </el-select>
+            </div>
+          </el-col>
+        </el-row>
+
+        <!-- 工作单位 -->
         <el-row :gutter="16" class="form-row">
-          <el-col :span="12" class="form-item">
+          <el-col :span="24" class="form-item full-width">
             <span class="form-label">工作单位（学校）</span>
             <el-input v-model="form.workplace" class="underline-input" />
           </el-col>
@@ -488,7 +522,7 @@
 <script setup>
 import { ref, computed, getCurrentInstance, watch } from 'vue';
 import pcas from 'china-division/dist/pcas-code.json';
-import { saveInfectiousDiseaseReport, getNextCardNo } from '../api';
+import { saveInfectiousDiseaseReport } from '../api';
 import useUserStore from '@/store/modules/user';
 import { useDict } from '@/utils/dict';
 
@@ -1203,7 +1237,7 @@ function calculateAge() {
  * 显示对话框并初始化表单数据
  * @param {Object} diagnosisData - 诊断数据，包含已选疾病和地址信息
  */
-async function show(diagnosisData) {
+function show(diagnosisData) {
   dialogVisible.value = true;
 
   // 重置地址选择器状态
@@ -1233,24 +1267,12 @@ async function show(diagnosisData) {
     });
   }
 
-  // 生成默认卡片编号：调用后端接口获取
+  // 生成默认卡片编号：医疗机构编码+当前年月日+4位流水
   const orgCode = userStore.fixmedinsCode || '0000';
-  let cardNo = '';
-  try {
-    const res = await getNextCardNo(orgCode);
-    if (res.code === 200 && res.data) {
-      cardNo = res.data;
-    } else {
-      cardNo = 'TEMP_' + Date.now();
-    }
-  } catch (err) {
-    console.error('获取卡片编号失败:', err);
-    cardNo = 'TEMP_' + Date.now();
-  }
 
   form.value = {
     // 卡片编号：单位自编，与网络直报一致
-    cardNo: cardNo,
+    cardNo: '',
 
     // 患者基本信息
     patName: patientInfo.patientName || patientInfo.name || '', // 患者姓名

openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue

@@ -522,7 +522,6 @@ const categoryList = ref([]);   // 原始分类+项目数据
 const dictSearchKey = ref('');
 const activeNames = ref('');    // 当前展开的折叠项
 const categoryLoadingSet = ref(new Set());  // Bug #500: 正在加载方法的分类集合
-const isAnimating = ref(false);  // Bug #500: 防止快速切换时折叠动画重叠导致抖动
 
 const allMethods = ref([]);
 
@@ -670,13 +669,8 @@ async function handleCategoryExpand(cat) {
     categoryLoadingSet.value.delete(cat.typeId);
   }
 }
-// Bug #500: 添加防抖逻辑，快速切换时跳过中间状态的动画，避免高度跳变和白屏闪烁
+// Bug #500: 改为非 async 函数，避免 el-collapse 的 @change 等待异步完成导致抖动
 function handleCollapseChange(activeName) {
-  if (isAnimating.value) return;  // 动画进行中，忽略后续点击
-
-  isAnimating.value = true;
-  setTimeout(() => { isAnimating.value = false; }, 300);  // 与 CSS 过渡时长一致
-
   if (activeName) {
     const cat = filteredCategoryList.value.find(c => c.typeId == activeName);
     if (cat && (!cat.methods || cat.methods.length === 0)) {
@@ -1313,7 +1307,6 @@ defineExpose({ getList });
 .collapse-scroll {
   flex: 1;
   overflow-y: auto;
-  overflow-x: hidden;  /* Bug #500: 防止切换时水平方向溢出导致抖动 */
 }
 .empty-hint {
   color: #909399;
@@ -1486,10 +1479,10 @@ defineExpose({ getList });
   padding-bottom: 4px;
   transition: all 0.3s ease;
 }
-/* Bug #500: 折叠面板动画容器，添加 overflow:hidden 防止展开时内容溢出导致闪烁 */
+/* Bug #500: 折叠面板展开/收起动画使用 will-change 优化性能 */
 :deep(.el-collapse-item__wrap) {
   border: none;
-  overflow: hidden;
+  will-change: height;
 }
 :deep(.el-collapse-item) {
   transition: margin 0.2s ease;

openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue

@@ -246,8 +246,7 @@
                       <el-input-number :min="0" v-model="scope.row.doseQuantity" controls-position="right"
                         :controls="false" style="width: 70px; margin-right: 20px"
                         :ref="(el) => (inputRefs.doseQuantity = el)" @input="convertValues(scope.row, scope.$index)"
-                        @keyup.enter.prevent="handleEnter('doseQuantity', scope.row, scope.$index)" 
+                        @keyup.enter.prevent="handleEnter('doseQuantity', scope.row, scope.$index)" />
-                        @change="calculateTotalAmount(scope.row, scope.$index)"/>
                     </el-form-item>
                     <!-- 剂量单位 -->
                     <el-select v-model="scope.row.minUnitCode" style="width: 70px; margin-right: 20px" placeholder=" ">
@@ -295,8 +294,7 @@
                             }
                             // inputRefs.rateCode.blur();
                           }
-                        " :ref="(el) => (inputRefs.rateCode = el)"
+                        " :ref="(el) => (inputRefs.rateCode = el)">
-                        @change="calculateTotalAmount(scope.row, scope.$index)">
                         <el-option v-for="dict in rate_code" @click="() => (scope.row.rateCode_dictText = dict.label)"
                           :key="dict.value" :label="dict.label" :value="dict.value" />
                       </el-select>
@@ -315,7 +313,6 @@
                       data-prop="dispensePerDuration">
                       <el-input-number v-model="scope.row.dispensePerDuration" style="width: 80px" :min="1"
                         controls-position="right" :controls="false" :ref="(el) => (inputRefs.dispensePerDuration = el)"
-                        @change="calculateTotalAmount(scope.row, scope.$index)"
                         @keyup.enter.prevent="
                           handleEnter('dispensePerDuration', scope.row, scope.$index)
                           ">

openhis-ui-vue3/src/views/doctorstation/components/surgery/surgeryApplication.vue

@@ -56,6 +56,137 @@
       <!-- 手术等级 -->
       <el-table-column label="手术等级" align="center" prop="surgeryLevel_dictText" width="100" />
       
+      <!-- 手术室确认时间 -->
+      <el-table-column label="手术室确认时间" align="center" prop="confirmTime" width="180">
+        <template #default="scope">
+          {{ scope.row.confirmTime ? parseTime(scope.row.confirmTime, '{y}-{m}-{d} {h}:{i}:{s}') : '-' }}
+        </template>
+      </el-table-column>
+      
+      <!-- 操作列 -->
+      <el-table-column label="操作" align="center" width="150" fixed="right">
+        <template #default="scope">
+          <el-button 
+            type="primary" 
+            link 
+            size="small" 
+            @click="handleView(scope.row)"
+          >
+            查看
+          </el-button>
+          <el-button 
+            type="primary" 
+            link 
+            size="small" 
+            @click="handleEdit(scope.row)"
+            :disabled="scope.row.status !== '0'"
+          >
+            修改
+          </el-button>
+        </template>
+      </el-table-column>
+    </el-table>
+  </div>
+</template>
+
+<script setup>
+import { ref, onMounted } from 'vue'
+import { getSurgeryApplicationList, addSurgeryApplication, updateSurgeryApplication } from '@/api/doctorstation/surgery'
+import { ElMessage, ElMessageBox } from 'element-plus'
+
+const loading = ref(true)
+const surgeryList = ref([])
+
+// 查询手术申请列表
+const getList = async () => {
+  try {
+    loading.value = true
+    const response = await getSurgeryApplicationList()
+    surgeryList.value = response.data || []
+  } catch (error) {
+    console.warn('获取手术申请列表失败', error)
+    surgeryList.value = []
+  } finally {
+    loading.value = false
+  }
+}
+
+// 新增手术申请
+const handleAdd = () => {
+  // 跳转到新增页面或打开新增弹窗
+  // 这里需要根据实际路由配置调整
+  openSurgeryDialog()
+}
+
+// 编辑手术申请
+const handleEdit = (row) => {
+  if(row.status !== '0') {
+    ElMessage.warning('该申请已提交，无法修改')
+    return
+  }
+  openSurgeryDialog(row)
+}
+
+// 查看手术申请详情
+const handleView = (row) => {
+  openSurgeryDialog(row, true)
+}
+
+// 刷新列表
+const handleRefresh = () => {
+  getList()
+}
+
+// 打开手术申请对话框
+const openSurgeryDialog = (row, isView = false) => {
+  // 这里需要引入具体的对话框组件或跳转到详情页
+  // 示例代码，具体实现需要根据项目实际情况调整
+  console.log('打开手术申请对话框', row, isView)
+}
+
+// 获取行样式
+const getRowClassName = ({ row }) => {
+  if (row.status === '1') {
+    return 'success-row'
+  } else if (row.status === '2') {
+    return 'warning-row'
+  }
+  return ''
+}
+
+onMounted(() => {
+  getList()
+})
+
+// 暴露方法给父组件调用，用于提交后刷新列表
+defineExpose({
+  refreshList: getList
+})
+</script>
+
+<style scoped>
+.surgery-application-container {
+  padding: 20px;
+}
+
+.top-operation-bar {
+  margin-bottom: 16px;
+}
+
+.add-button,
+.refresh-button {
+  margin-bottom: 10px;
+}
+
+/* 表格行状态样式 */
+::v-deep(.success-row) {
+  background-color: #f0f9ff;
+}
+
+::v-deep(.warning-row) {
+  background-color: #fff7e6;
+}
+</style>
       <el-table-column label="手术室确认时间" align="center" prop="operatingRoomConfirmTime" width="180">
         <template #default="scope">
           {{ scope.row.operatingRoomConfirmTime ? parseTime(scope.row.operatingRoomConfirmTime, '{y}-{m}-{d} {h}:{i}:{s}') : '-' }}

openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/bloodTtransfusionAapplication.vue

@@ -175,9 +175,10 @@ const hasMatchedFields = computed(() => {
 });
 
 /** 查询科室 */
-const getLocationInfo = async () => {
+const getLocationInfo = () => {
-  const res = await getOrgList();
+  getOrgList().then((res) => {
     orgOptions.value = res.data.records;
+  });
 };
 
 const recursionFun = (targetDepartment) => {
@@ -198,12 +199,7 @@ const recursionFun = (targetDepartment) => {
   return name;
 };
 
-const handleViewDetail = async (row) => {
+const handleViewDetail = (row) => {
-  // 确保科室数据已加载，以便将 ID 解析为名称
-  if (!orgOptions.value || orgOptions.value.length === 0) {
-    await getLocationInfo();
-  }
-
   currentDetail.value = row;
   // 解析 descJson
   if (row.descJson) {
@@ -224,9 +220,10 @@ const handleViewDetail = async (row) => {
 
 watch(
   () => patientInfo.value?.encounterId,
-  async (val) => {
+  (val) => {
     if (val) {
-      await Promise.all([fetchData(), getLocationInfo()]);
+      fetchData();
+      getLocationInfo();
     } else {
       tableData.value = [];
     }

openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/examineApplication.vue

@@ -49,6 +49,15 @@
               <el-option label="已作废" value="7" />
             </el-select>
           </el-form-item>
+          <el-form-item label="关键字">
+            <el-input
+              v-model="filterForm.keyword"
+              placeholder="申请单号/检查项目"
+              clearable
+              style="width: 200px"
+              @keyup.enter="handleSearch"
+            />
+          </el-form-item>
           <el-form-item>
             <el-button type="primary" @click="handleSearch" :loading="loading">
               <el-icon><Search /></el-icon>
@@ -86,9 +95,49 @@
               <span>{{ parseStatus(scope.row.status) }}</span>
             </template>
           </el-table-column>
-          <el-table-column label="操作" align="center" fixed="right">
+          <el-table-column label="操作" align="center" fixed="right" width="240">
             <template #default="scope">
               <el-button link type="primary" @click="handleViewDetail(scope.row)">详情</el-button>
+              <!-- 待签发：修改、删除 -->
+              <template v-if="scope.row.status === '0' || scope.row.status === 0">
+                <el-button link type="primary" @click="handleEdit(scope.row)">修改</el-button>
+                <el-popconfirm
+                  title="确认删除该申请单？"
+                  @confirm="handleDelete(scope.row)"
+                  width="200"
+                >
+                  <template #reference>
+                    <el-button link type="danger">删除</el-button>
+                  </template>
+                </el-popconfirm>
+              </template>
+              <!-- 已签发（护士未校对）：撤回 -->
+              <template v-else-if="scope.row.status === '1' || scope.row.status === 1">
+                <el-popconfirm
+                  title="确认撤回该申请单？撤回后将回滚至待签发状态"
+                  @confirm="handleWithdraw(scope.row)"
+                  width="260"
+                >
+                  <template #reference>
+                    <el-button link type="warning">撤回</el-button>
+                  </template>
+                </el-popconfirm>
+              </template>
+              <!-- 已校对/待接收：打印 -->
+              <template v-else-if="scope.row.status === '2' || scope.row.status === 2 || scope.row.status === '3' || scope.row.status === 3">
+                <el-button link type="primary" @click="handlePrint(scope.row)">打印</el-button>
+              </template>
+              <!-- 已接收/已检查：打印、看报告 -->
+              <template v-else-if="scope.row.status === '4' || scope.row.status === 4 || scope.row.status === '5' || scope.row.status === 5">
+                <el-button link type="primary" @click="handlePrint(scope.row)">打印</el-button>
+                <el-button link type="primary" @click="handleViewReport(scope.row)">看报告</el-button>
+              </template>
+              <!-- 已出报告：打印、看报告 -->
+              <template v-else-if="scope.row.status === '6' || scope.row.status === 6">
+                <el-button link type="primary" @click="handlePrint(scope.row)">打印</el-button>
+                <el-button link type="success" @click="handleViewReport(scope.row)">看报告</el-button>
+              </template>
+              <!-- 已作废：仅详情 -->
             </template>
           </el-table-column>
         </el-table>
@@ -160,6 +209,60 @@
         <el-button @click="detailDialogVisible = false">关闭</el-button>
       </template>
     </el-dialog>
+    <!-- 修改申请单弹窗 -->
+    <el-dialog
+      v-model="editDialogVisible"
+      title="修改检查申请"
+      width="800px"
+      destroy-on-close
+      top="5vh"
+      :close-on-click-modal="false"
+    >
+      <div v-if="editDetail" class="applicationShow-container">
+        <el-form :model="editForm" label-width="120px">
+          <el-form-item label="申请单名称">
+            <el-input v-model="editForm.name" />
+          </el-form-item>
+          <el-form-item label="临床诊断">
+            <el-input v-model="editForm.clinicalDiagnosis" type="textarea" :rows="2" />
+          </el-form-item>
+          <el-form-item label="注意事项">
+            <el-input v-model="editForm.attention" type="textarea" :rows="2" />
+          </el-form-item>
+          <div v-if="editDetail.requestFormDetailList && editDetail.requestFormDetailList.length">
+            <el-divider>申请项目</el-divider>
+            <el-table :data="editDetail.requestFormDetailList" border size="small">
+              <el-table-column type="index" label="序号" width="60" align="center" />
+              <el-table-column prop="adviceName" label="医嘱名称" />
+              <el-table-column prop="quantity" label="数量" width="80" align="center" />
+              <el-table-column prop="unitCode_dictText" label="单位" width="100" />
+              <el-table-column prop="totalPrice" label="总价" width="100" align="right" />
+            </el-table>
+          </div>
+        </el-form>
+      </div>
+      <template #footer>
+        <el-button @click="editDialogVisible = false">取消</el-button>
+        <el-button type="primary" @click="handleSaveEdit" :loading="saveLoading">保存</el-button>
+      </template>
+    </el-dialog>
+    <!-- 报告查看弹窗 -->
+    <el-dialog
+      v-model="reportDialogVisible"
+      title="检查报告"
+      width="900px"
+      destroy-on-close
+      top="5vh"
+      :close-on-click-modal="false"
+    >
+      <div v-if="reportUrl" style="min-height: 500px;">
+        <iframe :src="reportUrl" style="width: 100%; height: 500px; border: none;" />
+      </div>
+      <el-empty v-else description="暂无报告数据" />
+      <template #footer>
+        <el-button @click="reportDialogVisible = false">关闭</el-button>
+      </template>
+    </el-dialog>
   </div>
 </template>
 
@@ -167,7 +270,7 @@
 import {computed, getCurrentInstance, ref, watch} from 'vue';
 import {Refresh, Search} from '@element-plus/icons-vue';
 import {patientInfo} from '../../store/patient.js';
-import {getCheck} from './api';
+import {getCheck, deleteRequestForm, withdrawRequestForm, getTestResult} from './api';
 import {getOrgList} from '@/views/doctorstation/components/api.js';
 
 const { proxy } = getCurrentInstance();
@@ -179,10 +282,33 @@ const currentDetail = ref(null);
 const descJsonData = ref(null);
 const orgOptions = ref([]);
 
+// 修改申请单相关
+const editDialogVisible = ref(false);
+const editDetail = ref(null);
+const editForm = ref({});
+const saveLoading = ref(false);
+
+// 报告查看相关
+const reportDialogVisible = ref(false);
+const reportUrl = ref('');
+
 // 筛选表单数据
+const getDefaultDateRange = () => {
+  const now = new Date();
+  const weekAgo = new Date(now.getTime() - 7 * 24 * 60 * 60 * 1000);
+  const formatDate = (d) => {
+    const year = d.getFullYear();
+    const month = String(d.getMonth() + 1).padStart(2, '0');
+    const day = String(d.getDate()).padStart(2, '0');
+    return `${year}-${month}-${day}`;
+  };
+  return [formatDate(weekAgo), formatDate(now)];
+};
+
 const filterForm = ref({
-  dateRange: [], // [startDate, endDate]
+  dateRange: getDefaultDateRange(), // 默认近一周
   status: '', // 申请单状态
+  keyword: '', // 关键字搜索
 });
 
 const fetchData = async () => {
@@ -207,6 +333,11 @@ const fetchData = async () => {
       params.status = filterForm.value.status;
     }
 
+    // 添加关键字搜索
+    if (filterForm.value.keyword && filterForm.value.keyword.trim()) {
+      params.keyword = filterForm.value.keyword.trim();
+    }
+
     const res = await getCheck(params);
     if (res.code === 200 && res.data) {
       const raw = res.data?.records || res.data;
@@ -243,8 +374,9 @@ const handleSearch = async () => {
  * 重置按钮处理
  */
 const handleReset = () => {
-  filterForm.value.dateRange = [];
+  filterForm.value.dateRange = getDefaultDateRange();
   filterForm.value.status = '';
+  filterForm.value.keyword = '';
   fetchData();
 };
 
@@ -336,6 +468,217 @@ const handleViewDetail = (row) => {
   detailDialogVisible.value = true;
 };
 
+/**
+ * 修改申请单
+ */
+const handleEdit = (row) => {
+  editDetail.value = row;
+  // 解析 descJson 为表单数据
+  const form = { name: row.name || '' };
+  if (row.descJson) {
+    try {
+      const desc = JSON.parse(row.descJson);
+      form.clinicalDiagnosis = desc.clinicalDiagnosis || '';
+      form.attention = desc.attention || '';
+      form.symptom = desc.symptom || '';
+      form.sign = desc.sign || '';
+    } catch (e) {
+      console.error('解析 descJson 失败:', e);
+    }
+  }
+  editForm.value = form;
+  editDialogVisible.value = true;
+};
+
+/**
+ * 保存修改
+ */
+const handleSaveEdit = async () => {
+  if (!editDetail.value?.requestFormId) {
+    proxy.$modal?.msgWarning?.('申请单ID不存在');
+    return;
+  }
+  saveLoading.value = true;
+  try {
+    // 复用 save-check 接口进行更新（传入 requestFormId 即为编辑场景）
+    const res = await proxy.$http?.post?.('/reg-doctorstation/request-form/save-check', {
+      requestFormId: editDetail.value.requestFormId,
+      encounterId: editDetail.value.encounterId,
+      patientId: editDetail.value.patientId,
+      name: editForm.value.name,
+      organizationId: editDetail.value.inHospitalOrgId || patientInfo.value?.inHospitalOrgId,
+      descJson: JSON.stringify({
+        clinicalDiagnosis: editForm.value.clinicalDiagnosis,
+        attention: editForm.value.attention,
+        symptom: editForm.value.symptom,
+        sign: editForm.value.sign,
+      }),
+      activityList: [], // 修改场景仅更新描述信息，不修改项目
+    });
+    if (res?.code === 200) {
+      proxy.$modal?.msgSuccess?.('修改成功');
+      editDialogVisible.value = false;
+      await fetchData();
+    } else {
+      proxy.$modal?.msgError?.(res?.msg || '修改失败');
+    }
+  } catch (e) {
+    console.warn('修改申请单失败:', e.message);
+    proxy.$modal?.msgError?.('修改失败: ' + (e.message || '网络异常'));
+  } finally {
+    saveLoading.value = false;
+  }
+};
+
+/**
+ * 删除申请单（仅待签发状态可删除）
+ */
+const handleDelete = async (row) => {
+  if (!row.requestFormId) {
+    proxy.$modal?.msgWarning?.('申请单ID不存在');
+    return;
+  }
+  try {
+    const res = await deleteRequestForm({ requestFormId: row.requestFormId });
+    if (res?.code === 200) {
+      proxy.$modal?.msgSuccess?.('删除成功');
+      await fetchData();
+    } else {
+      proxy.$modal?.msgError?.(res?.msg || '删除失败');
+    }
+  } catch (e) {
+    console.warn('删除申请单失败:', e.message);
+    proxy.$modal?.msgError?.('删除失败: ' + (e.message || '网络异常'));
+  }
+};
+
+/**
+ * 撤回申请单（已签发状态撤回至待签发）
+ */
+const handleWithdraw = async (row) => {
+  if (!row.requestFormId) {
+    proxy.$modal?.msgWarning?.('申请单ID不存在');
+    return;
+  }
+  try {
+    const res = await withdrawRequestForm({ requestFormId: row.requestFormId });
+    if (res?.code === 200) {
+      proxy.$modal?.msgSuccess?.('撤回成功');
+      await fetchData();
+    } else {
+      proxy.$modal?.msgError?.(res?.msg || '撤回失败');
+    }
+  } catch (e) {
+    console.warn('撤回申请单失败:', e.message);
+    proxy.$modal?.msgError?.('撤回失败: ' + (e.message || '网络异常'));
+  }
+};
+
+/**
+ * 打印申请单
+ */
+const handlePrint = (row) => {
+  // 打开新窗口进行打印
+  const printWindow = window.open('', '_blank');
+  if (!printWindow) {
+    proxy.$modal?.msgWarning?.('请允许浏览器弹出窗口以进行打印');
+    return;
+  }
+  const content = buildPrintContent(row);
+  printWindow.document.write(`
+    <!DOCTYPE html>
+    <html>
+    <head>
+      <meta charset="utf-8">
+      <title>检查申请单打印</title>
+      <style>
+        body { font-family: "Microsoft YaHei", sans-serif; padding: 20px; font-size: 14px; }
+        h2 { text-align: center; margin-bottom: 20px; }
+        table { width: 100%; border-collapse: collapse; margin-top: 10px; }
+        th, td { border: 1px solid #ddd; padding: 8px; text-align: left; }
+        th { background: #f5f5f5; }
+        .info-row { margin: 8px 0; }
+        .label { font-weight: bold; display: inline-block; width: 100px; }
+        @media print { .no-print { display: none; } }
+      </style>
+    </head>
+    <body>
+      ${content}
+      <div class="no-print" style="text-align: center; margin-top: 20px;">
+        <button onclick="window.print()">打印</button>
+        <button onclick="window.close()">关闭</button>
+      </div>
+    </body>
+    </html>
+  `);
+  printWindow.document.close();
+};
+
+/**
+ * 构建打印内容
+ */
+const buildPrintContent = (row) => {
+  let descHtml = '';
+  if (row.descJson) {
+    try {
+      const desc = JSON.parse(row.descJson);
+      descHtml = Object.entries(labelMap)
+        .filter(([key]) => desc[key])
+        .map(([key, label]) => `<div class="info-row"><span class="label">${label}:</span>${desc[key]}</div>`)
+        .join('');
+    } catch (e) {
+      console.error('解析 descJson 失败:', e);
+    }
+  }
+  let itemsHtml = '';
+  if (row.requestFormDetailList && row.requestFormDetailList.length) {
+    itemsHtml = `
+      <h3>申请项目</h3>
+      <table>
+        <tr><th>序号</th><th>医嘱名称</th><th>数量</th><th>单位</th><th>总价</th></tr>
+        ${row.requestFormDetailList.map((item, i) => `
+          <tr>
+            <td>${i + 1}</td>
+            <td>${item.adviceName || '-'}</td>
+            <td>${item.quantity || '-'}</td>
+            <td>${item.unitCode_dictText || '-'}</td>
+            <td>${item.totalPrice || '-'}</td>
+          </tr>
+        `).join('')}
+      </table>
+    `;
+  }
+  return `
+    <h2>检查申请单</h2>
+    <div class="info-row"><span class="label">患者姓名:</span>${row.patientName || '-'}</div>
+    <div class="info-row"><span class="label">申请单名称:</span>${row.name || '-'}</div>
+    <div class="info-row"><span class="label">创建时间:</span>${row.createTime || '-'}</div>
+    <div class="info-row"><span class="label">处方号:</span>${row.prescriptionNo || '-'}</div>
+    <div class="info-row"><span class="label">申请者:</span>${row.requesterId_dictText || '-'}</div>
+    <div class="info-row"><span class="label">申请单状态:</span>${parseStatus(row.status)}</div>
+    ${descHtml ? `<h3>申请单描述</h3>${descHtml}` : ''}
+    ${itemsHtml}
+  `;
+};
+
+/**
+ * 查看报告
+ */
+const handleViewReport = async (row) => {
+  reportUrl.value = '';
+  reportDialogVisible.value = true;
+  try {
+    const res = await getTestResult({ encounterId: row.encounterId, requestFormId: row.requestFormId });
+    if (res?.code === 200 && res?.data) {
+      reportUrl.value = res.data;
+    } else {
+      console.warn('获取检查报告失败:', res?.msg || '无数据');
+    }
+  } catch (e) {
+    console.warn('获取检查报告异常:', e.message);
+  }
+};
+
 watch(
   () => patientInfo.value?.encounterId,
   (val) => {
@@ -344,8 +687,9 @@ watch(
       getLocationInfo();
     } else {
       tableData.value = [];
-      filterForm.value.dateRange = [];
+      filterForm.value.dateRange = getDefaultDateRange();
       filterForm.value.status = '';
+      filterForm.value.keyword = '';
     }
   },
   { immediate: true }

openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/summaryDrugApplication.vue

@@ -1,20 +0,0 @@
-<!--
- * 住院医生站 — 汇总发药申请：复用药房「发药汇总单」能力
- -->
-<template>
-  <div class="summary-drug-application">
-    <MedicationSummary />
-  </div>
-</template>
-
-<script setup>
-import MedicationSummary from '@/views/drug/inpatientMedicationDispensing/components/MedicationSummary.vue';
-</script>
-
-<style scoped>
-.summary-drug-application {
-  height: 100%;
-  min-height: 400px;
-  overflow: auto;
-}
-</style>

openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/surgeryApplication.vue

@@ -181,9 +181,10 @@ const hasMatchedFields = computed(() => {
 });
 
 /** 查询科室 */
-const getLocationInfo = async () => {
+const getLocationInfo = () => {
-  const res = await getOrgList();
+  getOrgList().then((res) => {
     orgOptions.value = res.data.records;
+  });
 };
 
 const recursionFun = (targetDepartment) => {
@@ -204,12 +205,7 @@ const recursionFun = (targetDepartment) => {
   return name;
 };
 
-const handleViewDetail = async (row) => {
+const handleViewDetail = (row) => {
-  // 确保科室数据已加载，以便将 ID 解析为名称
-  if (!orgOptions.value || orgOptions.value.length === 0) {
-    await getLocationInfo();
-  }
-
   currentDetail.value = row;
   // 解析 descJson
   if (row.descJson) {
@@ -230,9 +226,10 @@ const handleViewDetail = async (row) => {
 
 watch(
   () => patientInfo.value?.encounterId,
-  async (val) => {
+  (val) => {
     if (val) {
-      await Promise.all([fetchData(), getLocationInfo()]);
+      fetchData();
+      getLocationInfo();
     } else {
       tableData.value = [];
     }

openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/testApplication.vue

@@ -47,15 +47,6 @@
               <el-option label="已作废" value="5" />
             </el-select>
           </el-form-item>
-          <el-form-item label="关键字">
-            <el-input
-              v-model="filterForm.keyword"
-              placeholder="申请单号/检验项目"
-              clearable
-              style="width: 200px"
-              @keyup.enter="handleSearch"
-            />
-          </el-form-item>
           <el-form-item>
             <el-button type="primary" @click="handleSearch" :loading="loading">
               <el-icon><Search /></el-icon>
@@ -182,7 +173,7 @@ import {computed, getCurrentInstance, ref, watch} from 'vue';
 import {Refresh, Search} from '@element-plus/icons-vue';
 import {patientInfo} from '../../store/patient.js';
 import {getInspection} from './api';
-import {getDepartmentList} from '@/api/public.js';
+import {getOrgList} from '@/views/doctorstation/components/api.js';
 
 const { proxy } = getCurrentInstance();
 
@@ -197,7 +188,6 @@ const orgOptions = ref([]);
 const filterForm = ref({
   dateRange: [], // [startDate, endDate]
   status: '', // 单据状态
-  keyword: '', // 关键字搜索
 });
 
 const fetchData = async () => {
@@ -222,11 +212,6 @@ const fetchData = async () => {
       params.status = filterForm.value.status;
     }
     
-    // 添加关键字搜索
-    if (filterForm.value.keyword && filterForm.value.keyword.trim()) {
-      params.keyword = filterForm.value.keyword.trim();
-    }
-
     const res = await getInspection(params);
     if (res.code === 200 && res.data) {
       const raw = res.data?.records || res.data;
@@ -266,7 +251,6 @@ const handleReset = () => {
   // 重置筛选条件为默认值
   filterForm.value.dateRange = [];
   filterForm.value.status = '';
-  filterForm.value.keyword = '';
   // 重新加载数据
   fetchData();
 };
@@ -347,9 +331,10 @@ const hasMatchedFields = computed(() => {
 });
 
 /** 查询科室 */
-const getLocationInfo = async () => {
+const getLocationInfo = () => {
-  const res = await getDepartmentList();
+  getOrgList().then((res) => {
-  orgOptions.value = res.data || [];
+    orgOptions.value = res.data.records;
+  });
 };
 
 const recursionFun = (targetDepartment) => {
@@ -360,24 +345,17 @@ const recursionFun = (targetDepartment) => {
       name = obj.name;
     }
     const subObjArray = obj['children'];
-    if (subObjArray && subObjArray.length > 0) {
+    for (let index = 0; index < subObjArray.length; index++) {
-      for (let i = 0; i < subObjArray.length; i++) {
+      const item = subObjArray[index];
-        const item = subObjArray[i];
       if (item.id == targetDepartment) {
         name = item.name;
       }
     }
   }
-  }
   return name;
 };
 
-const handleViewDetail = async (row) => {
+const handleViewDetail = (row) => {
-  // 确保科室数据已加载，以便将 ID 解析为名称
-  if (!orgOptions.value || orgOptions.value.length === 0) {
-    await getLocationInfo();
-  }
-
   currentDetail.value = row;
   // 解析 descJson
   if (row.descJson) {
@@ -398,7 +376,7 @@ const handleViewDetail = async (row) => {
 
 watch(
   () => patientInfo.value?.encounterId,
-  async (val) => {
+  (val) => {
     if (val) {
       // 设置默认日期范围为近7天
       const today = new Date();
@@ -418,13 +396,13 @@ watch(
         formatDate(today)
       ];
       
-      await Promise.all([fetchData(), getLocationInfo()]);
+      fetchData();
+      getLocationInfo();
     } else {
       tableData.value = [];
       // 重置筛选条件
       filterForm.value.dateRange = [];
       filterForm.value.status = '';
-      filterForm.value.keyword = '';
     }
   },
   { immediate: true }

openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/laboratoryTests.vue

@@ -176,8 +176,6 @@ const projectWithDepartment = (selectProjectIds, type) => {
     });
     arr.push(searchData);
   });
-  // 保存用户手动选择的发往科室（提交时需要保留）
-  const manualDept = type === 2 ? form.targetDepartment : '';
   // 清空科室
   form.targetDepartment = '';
   if (arr.length > 0) {
@@ -196,18 +194,12 @@ const projectWithDepartment = (selectProjectIds, type) => {
     // 选中项目中的执行科室id与全部科室数据做匹配
     const findItem = findTreeItem(orgOptions.value, obj.orgId);
     if (!findItem) {
-      // type=2(提交)时，若用户已手动选择发往科室，则允许提交
-      if (type === 2 && manualDept) {
-        form.targetDepartment = manualDept;
-        isRelease = true;
-      } else {
       isRelease = false;
       ElMessage({
         type: 'error',
         message: '未找到项目执行的科室',
       });
     }
-    }
     if (type == 1) {
       if (isRelease) {
         form.targetDepartment = findItem.id;
@@ -240,7 +232,7 @@ const submit = () => {
       unitCode: item.priceList[0].unitCode /** 请求单位编码 */,
       unitPrice: item.priceList[0].price /** 单价 */,
       totalPrice: item.priceList[0].price /** 总价 */,
-      positionId: item.positionId || form.targetDepartment, //执行科室id，未配置时使用用户手动选择的科室
+      positionId: item.positionId, //执行科室id
       ybClassEnum: item.ybClassEnum, //类别医保编码
       conditionId: item.conditionId, //诊断ID
       encounterDiagnosisId: item.encounterDiagnosisId, //就诊诊断id

openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/medicalExaminations.vue

@@ -42,40 +42,6 @@
               />
             </el-form-item>
           </el-col>
-          <el-col :span="12">
-            <el-form-item label="紧急程度" prop="urgencyLevel" style="width: 100%">
-              <el-select v-model="form.urgencyLevel" placeholder="请选择紧急程度" clearable style="width: 100%">
-                <el-option label="普通" value="routine" />
-                <el-option label="急诊" value="emergency" />
-              </el-select>
-            </el-form-item>
-          </el-col>
-          <el-col :span="12">
-            <el-form-item label="过敏史" prop="allergyHistory" style="width: 100%">
-              <el-input v-model="form.allergyHistory" autocomplete="off" type="textarea" placeholder="如：造影剂过敏史等" />
-            </el-form-item>
-          </el-col>
-          <el-col :span="12">
-            <el-form-item label="检查目的" prop="examinationPurpose" style="width: 100%">
-              <el-input v-model="form.examinationPurpose" autocomplete="off" type="textarea" placeholder="请说明检查目的" />
-            </el-form-item>
-          </el-col>
-          <el-col :span="12">
-            <el-form-item label="病史摘要" prop="medicalHistorySummary" style="width: 100%">
-              <el-input v-model="form.medicalHistorySummary" autocomplete="off" type="textarea" placeholder="请简要描述患者病史" />
-            </el-form-item>
-          </el-col>
-          <el-col :span="12">
-            <el-form-item label="期望检查时间" prop="expectedExaminationTime" style="width: 100%">
-              <el-date-picker
-                v-model="form.expectedExaminationTime"
-                type="datetime"
-                placeholder="请选择期望检查时间"
-                style="width: 100%"
-                value-format="YYYY-MM-DD HH:mm:ss"
-              />
-            </el-form-item>
-          </el-col>
           <el-col :span="12">
             <el-form-item label="症状" prop="symptom" style="width: 100%">
               <el-input v-model="form.symptom" autocomplete="off" type="textarea" />
@@ -179,11 +145,6 @@ const transferValue = ref([]);
 const form = reactive({
   // categoryType: '', // 项目类别
   targetDepartment: '', // 发往科室
-  urgencyLevel: '', // 紧急程度
-  allergyHistory: '', // 过敏史
-  examinationPurpose: '', // 检查目的
-  medicalHistorySummary: '', // 病史摘要
-  expectedExaminationTime: '', // 期望检查时间
   symptom: '', // 症状
   sign: '', // 体征
   clinicalDiagnosis: '', // 临床诊断

openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue

@@ -802,10 +802,8 @@ function clickRowDb(row, column, event) {
     return;
   }
   row.showPopover = false;
-  // 允许所有 statusEnum==1 的医嘱进入编辑：
+  // “待签发(已保存 requestId存在)”不允许再编辑；仅“待保存(无requestId)”允许编辑
-  // 1. 新医嘱（无 requestId）：待保存
+  if (row.statusEnum == 1 && !row.requestId) {
-  // 2. 护士退回医嘱（有 requestId）：退回后状态重置为 DRAFT(1)，需允许医生编辑修改后重新签发
-  if (row.statusEnum == 1) {
     // 确保治疗类型为字符串，方便与单选框 label 对齐，默认为长期医嘱('1')
     row.therapyEnum = String(row.therapyEnum ?? '1');
     row.isEdit = true;
@@ -883,9 +881,8 @@ function handleFocus(row, index) {
   // 用 adviceType + categoryCode 组合查找匹配的选项
   const selectValue = (adviceType == 1 && row.categoryCode) ? '1-' + row.categoryCode : adviceType;
   const selectedItem = adviceTypeList.value.find(item => item.value === selectValue) || adviceTypeList.value.find(item => item.adviceType === adviceType);
-  // 修复Bug #486：当行没有显式选择医嘱类型时（row.adviceType为undefined），
+  // 修复Bug #486：当行没有显式选择医嘱类型时，不传categoryCode，让搜索在全药库中进行
-  // 不传categoryCode，让搜索在全药库中进行；只有行已选择类型时才用对应categoryCode过滤
+  const categoryCode = selectedItem ? selectedItem.categoryCode : (row.adviceType !== undefined ? (adviceQueryParams.value.categoryCode || '') : '');
-  const categoryCode = row.adviceType !== undefined ? (selectedItem ? selectedItem.categoryCode : '') : '';
   const searchKey = row.adviceName || '';
 
   nextTick(() => {
@@ -922,9 +919,8 @@ function handleChange(value) {
       // 用 adviceType + categoryCode 组合查找匹配的选项
       const selectValue = (adviceType == 1 && row?.categoryCode) ? '1-' + row.categoryCode : adviceType;
       const selectedItem = adviceTypeList.value.find(item => item.value === selectValue) || adviceTypeList.value.find(item => item.adviceType === adviceType);
-      // 修复Bug #486：当行没有显式选择医嘱类型时（row?.adviceType为undefined），
+      // 修复Bug #486：当行没有显式选择医嘱类型时，不传categoryCode，让搜索在全药库中进行
-      // 不传categoryCode，让搜索在全药库中进行；只有行已选择类型时才用对应categoryCode过滤
+      const categoryCode = selectedItem ? selectedItem.categoryCode : (row?.adviceType !== undefined ? (adviceQueryParams.value.categoryCode || '') : '');
-      const categoryCode = row?.adviceType !== undefined ? (selectedItem ? selectedItem.categoryCode : '') : '';
       tableRef.refresh(adviceType, categoryCode, value);
     }
   }

openhis-ui-vue3/src/views/inpatientNurse/InpatientBilling/components/FeeDialog.vue

@@ -181,7 +181,7 @@
                   v-for="dept in getFilteredOptions(scope.row, 'departmentOptions')"
                   :key="dept.id"
                   :label="dept.name"
-                  :value="String(dept.id)"
+                  :value="dept.id"
                 />
               </el-select>
               <el-select
@@ -197,7 +197,7 @@
                   v-for="dept in getFilteredOptions(scope.row, 'locationOptions')"
                   :key="dept.value"
                   :label="dept.label"
-                  :value="String(dept.value)"
+                  :value="dept.value"
                 />
               </el-select>
             </template>
@@ -280,16 +280,8 @@
       style="width: 100%"
     >
       <el-table-column type="index" label="序号" width="60" align="center" />
-      <el-table-column label="组套名称" min-width="180" show-overflow-tooltip>
+      <el-table-column label="组套名称" prop="name" min-width="180" show-overflow-tooltip />
-        <template #default="scope">
+      <el-table-column label="使用范围" prop="rangeCode_dictText" width="100" align="center" />
-          {{ scope.row.name || scope.row.Name || '' }}
-        </template>
-      </el-table-column>
-      <el-table-column label="使用范围" width="100" align="center">
-        <template #default="scope">
-          {{ getRangeText(scope.row) }}
-        </template>
-      </el-table-column>
       <el-table-column label="明细数量" width="100" align="center">
         <template #default="scope">
           {{ scope.row.detailList?.length || 0 }} 项
@@ -489,15 +481,10 @@ watch(
 
 // 加载科室选项
 function loadDepartmentOptions() {
-  getOrgList()
+  getOrgList().then((res) => {
-    .then((res) => {
     if (res.data && res.data.records && res.data.records.length > 0) {
       departmentOptions.value = res.data.records[0].children || [];
     }
-    })
-    .catch(() => {
-      console.warn('科室列表加载失败（可能无权限）');
-      departmentOptions.value = [];
   });
 }
 
@@ -517,14 +504,9 @@ function getAdviceBaseInfos() {
     });
 }
 function getDiseaseInitLoc() {
-  getDiseaseTreatmentInitLoc(16)
+  getDiseaseTreatmentInitLoc(16).then((response) => {
-    .then((response) => {
     console.log('Disease Treatment Init Loc:', response);
     locationOptions.value = response.data.locationOptions;
-    })
-    .catch(() => {
-      console.warn('位置列表加载失败（可能无权限）');
-      locationOptions.value = [];
   });
 }
 // 下拉框模糊搜索过滤
@@ -621,23 +603,15 @@ function selectChange(row) {
   const price = row.priceList?.[0]?.price || 0;
   //获取大小单位
   const uniqueUnitCodes = getUnitCodeOptions(row);
-  // 设置默认单位：优先使用 minUnitCode（小单位），回退到 unitCode（大单位）
+  // 设置默认执行科室/位置
-  let defaultUnitCode = '';
-  if (row.minUnitCode) {
-    defaultUnitCode = String(row.minUnitCode);
-  } else if (row.unitCode) {
-    defaultUnitCode = String(row.unitCode);
-  }
-  // 设置默认执行科室/位置（统一转为字符串，避免 el-select 类型不匹配）
   let defaultPositionId = undefined;
   if (row.adviceType === 3 && departmentOptions.value.length > 0) {
     // 诊疗：优先使用患者所在科室，否则取第一个科室
-    const patientOrgId = props.patientInfo.organizationId;
+    defaultPositionId = departmentOptions.value.find(d => d.id === props.patientInfo.organizationId)?.id
-    const matched = departmentOptions.value.find(d => String(d.id) === String(patientOrgId));
+      || departmentOptions.value[0]?.id;
-    defaultPositionId = matched ? String(matched.id) : String(departmentOptions.value[0].id);
   } else if (row.adviceType === 2 && locationOptions.value.length > 0) {
     // 耗材：默认取第一个药房/耗材房
-    defaultPositionId = String(locationOptions.value[0].value);
+    defaultPositionId = locationOptions.value[0]?.value;
   }
   //插入费用列表
   feeItemsList.value.push({
@@ -645,8 +619,8 @@ function selectChange(row) {
     uniqueUnitCodes: uniqueUnitCodes,
     unitPrice: (price / (row.partPercent || 1)).toFixed(6), // 根据拆零比计算单价
     quantity: 1,
-    positionId: defaultPositionId, // 默认执行科室/位置（字符串类型）
+    positionId: defaultPositionId, // 默认执行科室/位置
-    selectUnitCode: defaultUnitCode, // 默认选择小单位
+    selectUnitCode: String(row.minUnitCode || ''), // 默认选择小单位，确保字符串类型
   });
 }
 
@@ -771,7 +745,7 @@ function openGroupSetDialog() {
 
 function loadGroupSets() {
   groupSetLoading.value = true;
-  getOrderGroup({ organizationId: orgId.value })
+  getOrderGroup({ organizationId: orgId.value, searchKey: groupSetSearchText.value })
     .then((res) => {
       const data = res?.data || {};
       if (groupSetRange.value === 1) {
@@ -791,13 +765,6 @@ function loadGroupSets() {
     });
 }
 
-function getRangeText(row) {
-  // 后端未返回rangeCode，根据当前选中的范围标签显示
-  const rangeMap = { 1: '个人', 2: '科室', 3: '全院' };
-  if (row.rangeCode_dictText) return row.rangeCode_dictText;
-  return rangeMap[groupSetRange.value] || '';
-}
-
 function handleGroupSetSelect(row) {
   selectedGroupSet.value = row;
 }

openhis-ui-vue3/src/views/inpatientNurse/drugDistribution/components/prescriptionList.vue

@@ -174,6 +174,7 @@ const activeNames = ref([]);
 const userStore = useUserStore();
 const prescriptionList = ref([]);
 const deadline = ref(formatDateStr(new Date(), 'YYYY-MM-DD') + ' 23:59:59');
+const therapyEnum = ref(undefined);
 const { proxy } = getCurrentInstance();
 const loading = ref(false);
 const chooseAll = ref(false);
@@ -189,10 +190,6 @@ const props = defineProps({
   deadline: {
     type: String,
   },
-  therapyEnum: {
-    type: Number,
-    default: undefined,
-  },
 });
 
 function handleGetPrescription() {
@@ -203,7 +200,7 @@ function handleGetPrescription() {
       encounterIds: encounterIds,
       pageSize: 10000,
       pageNo: 1,
-      therapyEnum: props.therapyEnum,
+      therapyEnum: therapyEnum.value,
       exeStatus: props.exeStatus,
       requestStatus: props.requestStatus,
     })

openhis-ui-vue3/src/views/inpatientNurse/drugDistribution/index.vue

@@ -58,7 +58,7 @@
             :clearable="false"
             @change="handleGetPrescription"
           />
-          <el-radio-group v-model="therapyEnum" class="ml20" @change="handleTherapyChange">
+          <el-radio-group v-model="therapyEnum" class="ml20" @change="handleRadioChange">
             <el-radio :value="undefined">全部</el-radio>
             <el-radio :value="1">长期</el-radio>
             <el-radio :value="2">临时</el-radio>
@@ -79,7 +79,6 @@
         :exeStatus="exeStatus"
         :requestStatus="requestStatus"
         :deadline="deadline"
-        :therapyEnum="therapyEnum"
       />
       <SummaryMedicineList v-else />
       <!-- <el-tabs v-model="activeName" class="demo-tabs centered-tabs" @tab-change="handleClick">
@@ -121,7 +120,6 @@ const requestStatus = ref(RequestStatus.COMPLETED);
 const chooseAll = ref(false);
 const drugType = ref('1');
 const isDetails = ref('1');
-const therapyEnum = ref(undefined);
 
 // 存储子组件引用的对象
 const prescriptionRefs = ref();
@@ -177,10 +175,6 @@ function handleRadioChange(value) {
   }
 }
 
-function handleTherapyChange() {
-  handleGetPrescription();
-}
-
 function handleExecute() {
   proxy.$refs['prescriptionRefs'].handleMedicineSummary();
 }

openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue

@@ -67,6 +67,9 @@
         </el-button>
       </div>
     </div>
+  </div>
+</template>
+    </div>
     <div
       style="padding: 10px; background-color: #eef9fd; height: 100%; overflow-y: auto"
       v-loading="loading"
@@ -229,7 +232,7 @@ import {adviceCancel, adviceExecute, adviceNoExecute, getPrescriptionList} from
 import {patientInfoList} from '../../components/store/patient.js';
 import {lotNumberMatch} from '@/api/public';
 import {formatDateStr} from '@/utils/index';
-import {getCurrentInstance, nextTick, ref, provide} from 'vue';
+import {getCurrentInstance, nextTick, ref} from 'vue';
 
 const activeNames = ref([]);
 const prescriptionList = ref([]);
@@ -239,8 +242,6 @@ const therapyEnum = ref(undefined);
 const { proxy } = getCurrentInstance();
 const loading = ref(false);
 const chooseAll = ref(false);
-// 独立维护选中行ID集合，避免el-table内部selection状态异常导致联动全选
-const selectedRowIds = ref(new Set());
 const props = defineProps({
   exeStatus: {
     type: Number,
@@ -282,10 +283,9 @@ function handleGetPrescription() {
       exeStatus: props.exeStatus,
       requestStatus: props.requestStatus,
     }).then((res) => {
-      try {
+      // try {
-      const records = res?.data?.records || [];
       // 根据encounterId分组
-      const groupedPrescriptions = records.reduce((groups, prescription) => {
+      const groupedPrescriptions = res.data.records.reduce((groups, prescription) => {
         // 获取当前医嘱全部执行频次
         let rate;
         let times;
@@ -430,26 +430,18 @@ function handleGetPrescription() {
 
       // 将分组结果转换为数组形式
       prescriptionList.value = Object.values(groupedPrescriptions);
+      loading.value = false;
       // 默认选中全部行
       nextTick(() => {
         defaultSelectAllRows();
       });
-      } catch (error) {
+      // } catch {
-        console.error('医嘱执行-获取处方列表数据处理失败:', error);
+      //   loading.value = false;
-        prescriptionList.value = [];
+      // }
-      } finally {
-        loading.value = false;
-      }
-    }).catch((error) => {
-      console.error('医嘱执行-获取处方列表接口失败:', error);
-      prescriptionList.value = [];
-      loading.value = false;
     });
     chooseAll.value = false;
   } else {
     prescriptionList.value = [];
-    selectedRowIds.value.clear();
-    loading.value = false;
     // proxy.$message.warning('请选择患者');
   }
 }
@@ -469,19 +461,11 @@ function handleExecute() {
   console.log(list, 'list');
   adviceExecute({ exeDate: exeDate.value, adviceExecuteDetailList: list }).then((res) => {
     if (res.code == 200) {
+      proxy.$modal.msgSuccess(res.msg || '医嘱执行成功');
       handleGetPrescription();
-      // 仅当选中医嘱中包含药品/耗材类医嘱时，才调用耗材批号匹配
-      const hasMedOrDevice = list.some(
-        (item) =>
-          item.adviceTable === 'med_medication_request' ||
-          String(item.adviceTable || '').includes('device'),
-      );
-      if (hasMedOrDevice) {
       lotNumberMatch({ encounterIdList: encounterIds }, { skipErrorMsg: true }).catch((error) => {
         console.warn('lotNumberMatch failed after adviceExecute:', error);
       });
-      }
-      proxy.$modal.msgSuccess(res.msg || '医嘱执行成功');
     } else {
       proxy.$modal.msgError(res.msg || '医嘱执行失败');
     }
@@ -516,28 +500,23 @@ function handleCancel() {
   let list = getSelectRows();
   let producerIds = [];
   list.forEach((item) => {
-    // 从 exePerformRecordList 直接提取 procedureId，过滤空值避免后端SQL异常
+    // 从 exePerformRecordList 直接提取 procedureId，确保取消执行时数据完整
-    const procedureIds = (item.exePerformRecordList || [])
+    const procedureIds = (item.exePerformRecordList || []).map((record) => record.procedureId);
-      .map((record) => record.procedureId)
-      .filter((id) => id != null && id !== '');
     if (procedureIds.length === 0 && (!item.procedureIds || item.procedureIds.length === 0)) {
       proxy.$modal.msgError('请选择已执行的医嘱记录');
       return;
     }
     const ids = procedureIds.length > 0 ? procedureIds : item.procedureIds;
     producerIds.push(
-      ...ids
+      ...ids.map((value) => {
-        .filter((value) => value != null && value !== '')
-        .map((value) => {
         return {
           procedureId: value,
-            therapyEnum: Number(item.therapyEnum),
+          therapyEnum: item.therapyEnum,
         };
       })
     );
   });
   if (producerIds.length === 0) {
-    proxy.$modal.msgError('未找到有效的执行记录，无法取消执行');
     return;
   }
   adviceCancel({ adviceExecuteDetailList: producerIds }).then((res) => {
@@ -547,20 +526,14 @@ function handleCancel() {
     } else {
       proxy.$modal.msgError(res.msg || '取消执行失败');
     }
-  }).catch(() => {
-    proxy.$modal.msgError('取消执行失败，请稍后重试');
   });
 }
 
 function getSelectRows() {
-  // 优先从独立维护的selectedRowIds集合中获取选中行，避免el-table内部selection状态异常
+  // 获取选中的医嘱信息
-  const list = [];
+  let list = [];
-  prescriptionList.value.forEach((item) => {
+  prescriptionList.value.forEach((item, index) => {
-    item.forEach((row) => {
+    list = [...list, ...proxy.$refs['tableRef' + index][0].getSelectionRows()];
-      if (selectedRowIds.value.has(row.requestId)) {
-        list.push(row);
-      }
-    });
   });
   return list;
 }
@@ -636,14 +609,12 @@ function handelSwicthChange(value) {
       if (value) {
         // 全选：选中所有行并联动checkbox
         item.forEach((row) => {
-          selectedRowIds.value.add(row.requestId);
           tableRef[0].toggleRowSelection(row, true);
           selectAllCheckboxesInRow(row);
         });
       } else {
         // 取消全选：取消选中所有行并联动checkbox
         item.forEach((row) => {
-          selectedRowIds.value.delete(row.requestId);
           tableRef[0].toggleRowSelection(row, false);
           unselectAllCheckboxesInRow(row);
         });
@@ -654,14 +625,11 @@ function handelSwicthChange(value) {
 
 // 默认选中全部行
 function defaultSelectAllRows() {
-  // 清空并重建选中集合
-  selectedRowIds.value.clear();
   prescriptionList.value.forEach((item, index) => {
     const tableRef = proxy.$refs['tableRef' + index];
     if (tableRef && tableRef[0]) {
       // 选中该表格的所有行
       item.forEach((row) => {
-        selectedRowIds.value.add(row.requestId);
         tableRef[0].toggleRowSelection(row, true);
         // 同时选中该行内部的所有checkbox
         selectAllCheckboxesInRow(row);
@@ -741,14 +709,13 @@ function checkAndToggleRowSelection(row) {
       const tableRef = proxy.$refs['tableRef' + tableIndex];
       if (tableRef && tableRef[0]) {
         const isAllSelected = isAllCheckboxesSelected(row);
-        const isCurrentlySelected = selectedRowIds.value.has(row.requestId);
+        const selectedRows = tableRef[0].getSelectionRows();
+        const isCurrentlySelected = selectedRows.some((r) => r.requestId === row.requestId);
 
         // 根据checkbox状态更新表格行选中状态
         if (isAllSelected && !isCurrentlySelected) {
-          selectedRowIds.value.add(row.requestId);
           tableRef[0].toggleRowSelection(row, true);
         } else if (!isAllSelected && isCurrentlySelected) {
-          selectedRowIds.value.delete(row.requestId);
           tableRef[0].toggleRowSelection(row, false);
         }
       }
@@ -761,11 +728,9 @@ function handleRowSelect(selection, row, tableIndex) {
   const isSelected = selection.some((item) => item.requestId === row.requestId);
 
   if (isSelected) {
-    selectedRowIds.value.add(row.requestId);
     // 选中行时，选中该行内部的所有checkbox
     selectAllCheckboxesInRow(row);
   } else {
-    selectedRowIds.value.delete(row.requestId);
     // 取消选中行时，取消选中该行内部的所有checkbox
     unselectAllCheckboxesInRow(row);
   }
@@ -782,13 +747,11 @@ function handleSelectAll(selection, tableIndex) {
   if (selection.length > 0) {
     // 全选时，选中所有行内部的所有checkbox
     tableData.forEach((row) => {
-      selectedRowIds.value.add(row.requestId);
       selectAllCheckboxesInRow(row);
     });
   } else {
     // 取消全选时，取消选中所有行内部的所有checkbox
     tableData.forEach((row) => {
-      selectedRowIds.value.delete(row.requestId);
       unselectAllCheckboxesInRow(row);
     });
   }
@@ -800,12 +763,16 @@ function handleSelectAll(selection, tableIndex) {
 // 更新全选开关状态
 function updateChooseAllStatus() {
   let allSelected = true;
-  prescriptionList.value.forEach((item) => {
+  prescriptionList.value.forEach((item, index) => {
-    item.forEach((row) => {
+    const tableRef = proxy.$refs['tableRef' + index];
-      if (!selectedRowIds.value.has(row.requestId)) {
+    if (tableRef && tableRef[0]) {
+      const selectedRows = tableRef[0].getSelectionRows();
+      if (selectedRows.length !== item.length) {
+        allSelected = false;
+      }
+    } else {
       allSelected = false;
     }
-    });
   });
   chooseAll.value = allSelected;
 }

openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/index.vue

@@ -51,7 +51,7 @@
 </template>
 
 <script setup>
-import {getCurrentInstance, ref, nextTick, provide} from 'vue';
+import {getCurrentInstance} from 'vue';
 import PatientList from '../components/patientList.vue';
 import PrescriptionList from './components/prescriptionList.vue';
 import { RequestStatus } from '@/utils/medicalConstants';

openhis-ui-vue3/src/views/inpatientNurse/medicalOrderProofread/components/prescriptionList.vue

@@ -11,9 +11,9 @@
     >
       <div>
         <el-radio-group v-model="type" class="ml20" @change="handleRadioChange">
-          <el-radio :label="1">全部</el-radio>
+          <el-radio :value="undefined">全部</el-radio>
-          <el-radio :label="2">长期</el-radio>
+          <el-radio :value="1">长期</el-radio>
-          <el-radio :label="3">临时</el-radio>
+          <el-radio :value="2">临时</el-radio>
         </el-radio-group>
         <el-button class="ml20" type="primary" plain @click="handleGetPrescription">
           查询
@@ -159,7 +159,7 @@ import {formatDateStr} from '@/utils/index';
 const activeNames = ref([]);
 const prescriptionList = ref([]);
 const deadline = ref(formatDateStr(new Date(), 'YYYY-MM-DD') + ' 23:59:59');
-const type = ref(1);
+const type = ref(undefined);
 const { proxy } = getCurrentInstance();
 const loading = ref(false);
 const chooseAll = ref(false);

openhis-ui-vue3/src/views/inpatientNurse/tprChart/components/addTprDialog.vue

@@ -112,19 +112,6 @@
           <el-form ref="dynamicForm" :model="formData" label-width="100px" :rules="formRules">
             <div class="page-bottom">
               <el-row :gutter="24">
-                <el-col :span="8">
-                  <el-form-item style="margin-top: 15px" label="录入日期">
-                    <el-date-picker
-                      v-model="formData.recordingDate"
-                      type="date"
-                      placeholder="请选择日期"
-                      size="small"
-                      format="YYYY/MM/DD"
-                      value-format="YYYY-MM-DD"
-                      style="width: 100%"
-                    />
-                  </el-form-item>
-                </el-col>
                 <el-col :span="8">
                   <el-form-item style="margin-top: 15px" label="录入时间">
                     <div class="input-time-inline">
@@ -779,7 +766,6 @@ const receptionTime = ref(null);
 
 // 表单数据 - 体征录入
 const formData = ref({
-  recordingDate: '',
   timePoint: '',
   temperature: '',
   systolicPressure: '',
@@ -886,7 +872,6 @@ function getPatientDetial() {
   // 默认查询今天的数据
   const today = moment().format('YYYY-MM-DD');
   receptionTime.value = [today, today];
-  formData.value.recordingDate = today;
   // 自动加载数据
   getPatientList();
   listPatient(queryParams.value).then((res) => {
@@ -935,7 +920,6 @@ function handleRowClick(row) {
   formData.value = {
     ...formData.value,
     id: row.id,
-    recordingDate: row.recordingDate || '',
     timePoint: convertTimePoint(row.timePoint) || '',
     temperature: row.temperature || '',
     systolicPressure: row.systolicPressure || '',
@@ -1054,7 +1038,7 @@ function confirmCharge() {
 
   params.vitalSignsCode = vitalSignsCode;
   params.vitalSignsValues = vitalSignsValues;
-  params.recordingDate = formData.value.recordingDate || moment(new Date()).format('YYYY-MM-DD');
+  params.recordingDate = moment(new Date()).format('YYYY-MM-DD');
 
   addVitalSigns(params).then(res => {
     console.log('保存成功:', res);
@@ -1063,7 +1047,6 @@ function confirmCharge() {
       getPatientList();
       // 清空表单
       formData.value = {
-        recordingDate: '',
         timePoint: '',
         temperature: '',
         systolicPressure: '',

openhis-ui-vue3/src/views/triageandqueuemanage/cardiology/index.vue

@@ -198,38 +198,7 @@
               ↓
             </el-button>
           </div>
-        </div>
+          <div class="queue-actions-right">
-      </div>
-    </div>
-
-    <!-- 底部控制面板 -->
-    <div class="footer-section">
-      <!-- Bug #411：诊室快速过滤栏，筛选维度从科室改为诊室 -->
-      <div class="filter-section">
-        <div class="filter-left">
-          <div class="filter-label">
-            ③ 诊室快速过滤栏
-          </div>
-          <div class="filter-button-wrapper">
-            <el-button
-              :type="selectedRoom === 'all' ? 'primary' : ''"
-              size="small"
-              @click="selectedRoom = 'all'"
-            >
-              全部
-            </el-button>
-            <el-button
-              v-for="room in uniqueRooms"
-              :key="room"
-              :type="selectedRoom === room ? 'primary' : ''"
-              size="small"
-              @click="selectedRoom = room"
-            >
-              {{ room }}
-            </el-button>
-          </div>
-        </div>
-        <div class="filter-right">
             <el-button 
               :type="showOnlyWaiting ? 'primary' : ''" 
               size="small"
@@ -246,6 +215,38 @@
             </el-button>
           </div>
         </div>
+      </div>
+    </div>
+
+    <!-- 底部控制面板 -->
+    <div class="footer-section">
+      <!-- 就诊科室快速过滤栏 -->
+      <div class="filter-section">
+        <div class="filter-label">
+          ③ 就诊科室快速过滤栏
+        </div>
+        <div class="filter-select-wrapper">
+          <el-select
+            v-model="selectedDept"
+            placeholder="请选择就诊科室"
+            clearable
+            filterable
+            style="width: 100%"
+            size="default"
+          >
+            <el-option
+              label="全部"
+              value="all"
+            />
+            <el-option
+              v-for="dept in departmentList"
+              :key="dept.id"
+              :label="dept.name"
+              :value="dept.id"
+            />
+          </el-select>
+        </div>
+      </div>
 
       <!-- 叫号控制板 -->
       <div class="call-control-section">
@@ -647,6 +648,7 @@ import { Refresh } from '@element-plus/icons-vue'
 import { ElMessage } from 'element-plus'
 import {
   getCandidatePool,
+  getLocationTree,
   getTriageQueueList,
   addToQueue,
   removeFromQueue,
@@ -679,8 +681,10 @@ const selectedCandidates = ref([])
 // 显示选项
 const showOnlyWaiting = ref(false)
 
-// Bug #411：诊室过滤，替代原来的科室下拉框（selectedDept/departmentList 已移除）
+// 科室过滤（改为使用就诊科室）
-const selectedRoom = ref('all')
+const selectedDept = ref('all')
+// 就诊科室列表
+const departmentList = ref([])
 
 // 修复【#397】：动态获取当前科室名称
 const currentDeptName = computed(() => {
@@ -903,11 +907,12 @@ const mapFrontendStatusToBackend = (status) => {
 // 从数据库加载队列
 const loadQueueFromDb = async () => {
   try {
-    // Bug #411：不再按科室选筛加载，后端默认按当前登录人科室查询
+    // 如果选择了具体科室，就按科室加载；否则加载当前登录人科室（后端默认）
-    const organizationId = undefined
+    const organizationId = selectedDept.value !== 'all' ? selectedDept.value : undefined
     // 只查询今天的患者
     const today = new Date()
     const todayStr = `${today.getFullYear()}-${String(today.getMonth() + 1).padStart(2, '0')}-${String(today.getDate()).padStart(2, '0')}`
+    console.log('【心内科】loadQueueFromDb 开始：organizationId=', organizationId, 'date=', todayStr, 'selectedDept=', selectedDept.value)
     const res = await getTriageQueueList({ organizationId, date: todayStr }).catch((err) => {
       console.error('【心内科】loadQueueFromDb 请求异常：', err)
       return { code: 500, msg: err?.message || '请求失败', data: null }
@@ -1153,29 +1158,55 @@ const loadDataFromApi = async () => {
 // 原始数据存储（用于过滤）
 const originalCandidatePoolList = ref(getInitialCandidatePoolList())
 
-// 过滤后的智能候选池数据（按诊室过滤）
+// 辅助函数：扁平化科室树形结构
+const flattenDepartmentTree = (tree, result = []) => {
+  if (!Array.isArray(tree)) return result
+  tree.forEach(node => {
+    if (node.id && node.name) {
+      result.push({ id: node.id, name: node.name })
+    }
+    if (node.children && Array.isArray(node.children)) {
+      flattenDepartmentTree(node.children, result)
+    }
+  })
+  return result
+}
+
+// 加载就诊科室列表
+const loadDepartmentList = async () => {
+  try {
+    const response = await getLocationTree()
+    if (response && response.data) {
+      // 扁平化树形结构
+      departmentList.value = flattenDepartmentTree(response.data)
+      console.log('【心内科】已加载就诊科室列表：', departmentList.value.length, '个科室')
+    }
+  } catch (error) {
+    console.error('【心内科】加载就诊科室列表失败：', error)
+    ElMessage.warning('加载就诊科室列表失败，使用默认数据')
+  }
+}
+
+// 获取选中科室的名称
+const getSelectedDeptName = () => {
+  if (selectedDept.value === 'all') return null
+  const dept = departmentList.value.find(d => d.id === selectedDept.value)
+  return dept ? dept.name : null
+}
+
+// 过滤后的智能候选池数据
 const filteredCandidatePoolList = computed(() => {
-  if (selectedRoom.value === 'all') {
+  if (selectedDept.value === 'all') {
     return originalCandidatePoolList.value
   }
-  return originalCandidatePoolList.value.filter(item => item.room === selectedRoom.value)
+  const deptName = getSelectedDeptName()
+  if (!deptName) return originalCandidatePoolList.value
+  return originalCandidatePoolList.value.filter(item => item.room === deptName)
 })
 
 // 原始队列数据存储（用于过滤）
 const originalQueueList = ref(getInitialQueueList())
 
-// 动态计算已加载数据中的唯一诊室列表（依赖上方两个 ref，确保声明顺序正确）
-const uniqueRooms = computed(() => {
-  const rooms = new Set()
-  originalCandidatePoolList.value.forEach(item => {
-    if (item.room && item.room !== '-') rooms.add(item.room)
-  })
-  originalQueueList.value.forEach(item => {
-    if (item.room && item.room !== '-') rooms.add(item.room)
-  })
-  return Array.from(rooms).sort()
-})
-
 const parseMmSsToSeconds = (mmss) => {
   if (!mmss || typeof mmss !== 'string') return 0
   const [mm, ss] = mmss.split(':')
@@ -1192,16 +1223,19 @@ const formatSecondsToMmSs = (totalSeconds) => {
   return `${mm}:${ss}`
 }
 
-// 过滤后的智能队列数据（Bug #411：诊室过滤 + 状态过滤）
+// 过滤后的智能队列数据（同时考虑科室过滤和状态过滤）
 const filteredQueueList = computed(() => {
   let filtered = originalQueueList.value
 
   // 先过滤掉"已完成"状态的患者（无论什么情况都不显示）
   filtered = filtered.filter(item => item.status !== '已完成')
 
-  // 再按诊室过滤
+  // 再按科室过滤
-  if (selectedRoom.value !== 'all') {
+  if (selectedDept.value !== 'all') {
-    filtered = filtered.filter(item => item.room === selectedRoom.value)
+    const deptName = getSelectedDeptName()
+    if (deptName) {
+      filtered = filtered.filter(item => item.room === deptName)
+    }
   }
 
   // 再按状态过滤（只显示等待）
@@ -1712,12 +1746,16 @@ const handleNextPatient = async () => {
       reqData.id = selectedQueueRow.value.id
       reqData.organizationId = selectedQueueRow.value.organizationId
     } else {
-      // Bug #411：已移除 selectedDept，改为从队列数据中动态获取科室
+      // 如果没有选中患者，使用查询条件（兼容旧逻辑）
+      let orgId = selectedDept.value !== 'all' ? selectedDept.value : undefined
+      // "全科"模式：优先用"当前叫号中/第一个等待"所在科室
+      if (orgId == null) {
         const calling = originalQueueList.value.find((i) => i.status === '叫号中')
         const waiting = originalQueueList.value.find((i) => i.status === '等待')
         console.log('【心内科】handleNextPatient 查找：叫号中=', calling?.patientName, '等待=', waiting?.patientName)
-      const orgId = calling?.organizationId ?? waiting?.organizationId
+        orgId = calling?.organizationId ?? waiting?.organizationId
         console.log('【心内科】handleNextPatient 确定的 orgId=', orgId)
+      }
       if (orgId != null) {
         reqData.organizationId = orgId
       }
@@ -1746,9 +1784,13 @@ const handleSkip = async () => {
       reqData.id = selectedQueueRow.value.id
       reqData.organizationId = selectedQueueRow.value.organizationId
     } else {
-      // 如果没有选中患者，使用当前叫号中的科室
+      // 如果没有选中患者，使用查询条件（兼容旧逻辑）
+      let orgId = selectedDept.value !== 'all' ? selectedDept.value : undefined
+      // “全科”模式：优先用“当前叫号中”所在科室
+      if (orgId == null) {
         const calling = originalQueueList.value.find((i) => i.status === '叫号中')
-      const orgId = calling?.organizationId
+        orgId = calling?.organizationId
+      }
       if (orgId != null) {
         reqData.organizationId = orgId
       }
@@ -1776,9 +1818,13 @@ const handleComplete = async () => {
       reqData.id = selectedQueueRow.value.id
       reqData.organizationId = selectedQueueRow.value.organizationId
     } else {
-      // 如果没有选中患者，使用当前叫号中的科室
+      // 如果没有选中患者，使用查询条件（兼容旧逻辑）
+      let orgId = selectedDept.value !== 'all' ? selectedDept.value : undefined
+      // “全科”模式：优先用“当前叫号中”所在科室
+      if (orgId == null) {
         const calling = originalQueueList.value.find((i) => i.status === '叫号中')
-      const orgId = calling?.organizationId
+        orgId = calling?.organizationId
+      }
       if (orgId != null) {
         reqData.organizationId = orgId
       }
@@ -1806,9 +1852,13 @@ const handleRequeue = async () => {
       reqData.id = selectedQueueRow.value.id
       reqData.organizationId = selectedQueueRow.value.organizationId
     } else {
-      // 如果没有选中患者，使用当前叫号中的科室
+      // 如果没有选中患者，使用查询条件（兼容旧逻辑）
+      let orgId = selectedDept.value !== 'all' ? selectedDept.value : undefined
+      // “全科”模式：优先用“当前叫号中”所在科室
+      if (orgId == null) {
         const calling = originalQueueList.value.find((i) => i.status === '叫号中')
-      const orgId = calling?.organizationId
+        orgId = calling?.organizationId
+      }
       if (orgId != null) {
         reqData.organizationId = orgId
       }
@@ -2071,6 +2121,8 @@ const handleTestRule = () => {
 
 // 组件挂载
 onMounted(() => {
+  // 加载就诊科室列表
+  loadDepartmentList()
   // 初始化：优先从后端加载，失败则回退本地假数据
   loadDataFromApi()
   startWaitingTimer()
@@ -2192,6 +2244,10 @@ onUnmounted(() => {
           gap: 10px;
         }
 
+        .queue-actions-right {
+          display: flex;
+          gap: 10px;
+        }
       }
 
       .candidate-actions {
@@ -2213,12 +2269,6 @@ onUnmounted(() => {
 
     .filter-section {
       margin-bottom: 20px;
-      display: flex;
-      align-items: flex-start;
-      justify-content: space-between;
-
-      .filter-left {
-        flex: 1;
 
       .filter-label {
         font-size: 14px;
@@ -2227,18 +2277,8 @@ onUnmounted(() => {
         margin-bottom: 10px;
       }
 
-        .filter-button-wrapper {
+      .filter-select-wrapper {
-          display: flex;
+        width: 100%;
-          flex-wrap: wrap;
-          gap: 8px;
-        }
-      }
-
-      .filter-right {
-        display: flex;
-        gap: 8px;
-        flex-shrink: 0;
-        align-self: flex-end;
       }
     }